Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Pulmonary interstitial emphysema
Etiology: barotrauma from mechanical ventilation in patients with respiratory distress syndrome
Imaging: see rupture of alveoli with air leaking into interstitium, lymphatics, venous system
DDX: Pulmonary interstitial emphysema vs. airbronchograms of respiratory distress syndrome – both branch but pulmonary interstitial emphysema is thicker + blacker without orderly tapering of air bronchograms
Complications: prelude to pneumothorax, often tension pneumothorax
Cases of Pulmonary Interstitial Emphysema
CXR AP shows a branching bubbly appearance to the right lung along with air in the superior mediastinum.Supine CXR shows a large amount of air in the right pleural space with inversion of the right hemidiaphragm and mediastinal shift to the left. There is also evidence of pulmonary interstitial emphysema in the right lung.CXR AP shows a branching bubbly appearance to the right lung.CXR AP shows a branching bubbly appearance to the right lung and a large amount of air in the right pleural space.CXR AP shows a bubbly branching appearance to the right lower lobe and overall increased lucency throughout the entire abdomen.Gross pathological image of the right lung shows bubbles of air throughout the pulmonary interstitium of the lung.
