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Roentgenogram of the Month |

The White Chest*

Iain D. Lyburn, MB; William C. Torreggiani, MB; Alison C. Harris, MB; Charles V. Zwirewich, MD
Author and Funding Information

*From the Department of Radiology, Vancouver General Hospital, Vancouver, BC Canada.

Correspondence to: William C. Torreggiani, MB, Department of Radiology (Abdominal Division), Vancouver General Hospital, 899 West 12th Ave, Vancouver, BC Canada V5Z 1M9; e-mail: williammart@hotmail.com



Chest. 2001;120(2):649-651. doi:10.1378/chest.120.2.649
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Extract

A 39 -year-old man underwent distal gastrectomy and vagotomy for refractory peptic ulcer disease. The surgery and initial postoperative period were uneventful. Forty-eight hours after surgery, he developed progressive respiratory failure and ARDS, necessitating admission to the ICU and mechanical ventilation. Severe hypoxemia persisted despite the use of high ventilatory pressures and a fraction of inspired oxygen of 0.8 to 1.0. A supine anteroposterior chest radiograph was taken later that day (Fig 1 ).

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