Case Author(s): Jeff Chesnut, D.O. and Jerold Wallis, M.D. , 5/22/99 . Rating: #D3, #Q3

After viewing the image(s), the Full history/Diagnosis is available by using the link here or at the bottom of this page

Brief history:

70 year old female 2 weeks status-post lung volume reduction surgery for emphysema. She now has increasing dyspnea.


A ventilation/perfusion scintigram is shown. Does the ventilation-perfusion mismatch at the left apex indicate a vascular problem?

View main image(vq) in a separate viewing box

View second image(xr). A portable chest radiograph is shown (although difficult to see on this reproduction,there is a moderate left apical pneumothorax with a chest tube in place).

Search for similar cases

Full history/Diagnosis is also available

Return to the Teaching File home page.

Copyright by Wash U MO