Respiratory Therapist

Category - Patient Evaluations and Recommendations

What condition seen on chest x-ray that would appear as a thin dome of diaphragm just below the lung?
  1. Tension pneumothorax
  2. Pneumoperitoneum
  3. Diffuse pneumonia
  4. Pulmonary fibrosis
Explanation
Answer: B - A pneumoperitoneum is air in the abdominal cavity that appears as a thin dome of diaphragm just under the lung, in the space between the liver or spleen and diaphragm.

A tension pneumothorax is indicated by flattening of the diaphragm at the site of pneumothorax, a shift of mediastinum and cardiac silhouette away from site of pneumothorax. A pneumoperitoneum is air in the abdominal cavity that appears as a thin dome of diaphragm just under the lung, in the space between the liver or spleen and diaphragm. Diffuse pneumonia is defined as a pneumonia involving more than one lobe without a sharp border separating the affected area. Pulmonary fibrosis is noted as having a honeycomb appearance.
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