seni costofrenici espansi

English translation: sharp / normal costophrenic angles

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)

Italian term or phrase:	seni costofrenici espansi
English translation:	sharp / normal costophrenic angles
Entered by:	simon tanner

18:15 Apr 28, 2010

Italian to English translations [PRO]
Medical - Medical (general) / chest X-ray

Italian term or phrase: seni costofrenici espansi

From an X-ray report:

Non sono presenti opacità pleuroparenchimali in atto, seni costofrenici espansi, nella norma le dimensioni dell’immagine cardiovascolare

thanks for any help

simon tanner KudoZ activity Questions: 193 (1 open) (7 closed without grading) Answers: 849 Italy
Local time: 23:40

sharp / normal costophrenic angles

Explanation:
Seni costofrenici espansi should mean not obliterated, no sign of effusion, and therefore normal.
http://it-scienza.confusenet.com/showthread.php?t=4413

The costophrenic angle (place where the diaphragm meets the ribs) is normally sharp - blunting can occur in the presence of effusion or lung hyperexpansion.

http://radiologymasterclass.co.uk/tutorials/chest/chest_path...

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Note added at 6 days (2010-05-05 07:06:09 GMT) Post-grading
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:-[)

Selected response from:

Alexander Cormack (X)
Italy
Local time: 23:40

Grading comment

thanks; I was completely at a loss here!
4 KudoZ points were awarded for this answer

Summary of answers provided

3 +1

sharp / normal costophrenic angles

Alexander Cormack (X)

4 -1

widened costophrenic angles

casper (X)

costophrenic sinuses

Nina Taranto

Summary of reference entries provided

seni costo-frenici liberi

casper (X)

Costodiaphragmatic recess

Lisa Scudieri (X)

Answers

34 mins confidence:

costophrenic sinuses

Explanation:
Hi Simon, if you google costophrenic sinuses you'll get lots of hits but I have no idea what "espansi" might be.

Take care
Nina

Nina Taranto
Local time: 23:40
Native speaker of:

English

15 hrs confidence:

peer agreement (net): -1

widened costophrenic angles

Explanation:
espanso
adj. expanded, widened, enlarged, increased
http://www.dictionarist.com/espanso

These findings include bilaterally hyperlucent lungs, flattened hemidiaphragms with widened costophrenic angles, and horizontal ribs.
http://www.rtmagazine.com/issues/articles/2003-07_04.asp

In moderate-to-severe emphysema, chest radiographic findings include bilaterally hyperlucent lungs of large volume, flattened hemidiaphragms with widened costophrenic angles, horizontal ribs, and a narrow mediastinum.
http://emedicine.medscape.com/article/355688-imaging

casper (X)
Native speaker of:

English
PRO pts in category: 100

38 mins confidence:

peer agreement (net): +1

sharp / normal costophrenic angles

Alexander Cormack (X)
Italy
Local time: 23:40
Specializes in field
Native speaker of: English
PRO pts in category: 104

Grading comment

thanks; I was completely at a loss here!

Reference comments

15 hrs

Reference: seni costo-frenici liberi

Reference information:
http://www.proz.com/kudoz/855050

casper (X)
Native speaker of:

English
PRO pts in category: 100

16 hrs

Reference: Costodiaphragmatic recess

Reference information:
A synonym for costophrenic sinus:
"The costodiaphragmatic recess describes the sharp gutter at the junction of costal and diaphragmatic pleurae in each pleural cavity. The recesses act as potential spaces.

During inspiration, the negative pressure of the cavity is reduced so as to induce inferior expansion of the lungs into the recesses.

During expiration, the lungs contract and the parietal pleural margins are drawn into apposition by the surface tension of the film of fluid between them.

The recess, seen as the costodiaphragmatic angle in erect PA chest radiograms, is often filled with a rim of transudate fluid in patients with heart failure. This is radio-opaque and appears as 'blunting' of the angle - a supportive but not pathognomic sign."

More simply:
"1-9. PLEURA
Surrounding each lung individually is a serous cavity called the pleural cavity (figure 1-9). The minute quantity of serous fluid in the cavity serves as a lubricant. This serves to minimize friction for the expansion and contraction of the lungs during breathing.
a. Each lung is covered with a serous membrane called the visceral pleura. The outer wall of the pleural cavity is lined with another serous membrane known as the parietal pleura. Areas of the parietal pleura are variously named according to their
location. The mediastinal pleura form the lateral wall of the mediastinum. The diaphragmatic pleura cover the superior surface of the diaphragm. The costal pleura line the inner surface of the rib cage. The cupolar pleura form a dome-like extension into the root of the neck. It contains the apex of the lung.
b. When each lung is in its smaller volume, its corresponding diaphragmatic pleura lies close to the lower costal pleura. The slit-like cavity between them is called the costophrenic sinus. Fluids of each pleural cavity tend to collect in this sinus since it
is the lowest area for each. When the diaphragm contracts and flattens out, each costophrenic sinus opens up, and the inferior portion of the expanding lung occupies this space."

I don't think "espansi" ought to be literally translated here and wouldn't necessarily translate it as "widened" in reference to a space. I think it's important to understand the underlying meaning and Alexander gives me the impression that he has done that and conveyed it appropriately and relevantly in English.

Reference: http://www.gpnotebook.co.uk/simplepage.cfm?ID=33947706
Reference: http://www.operationalmedicine.org/Army/MD0568.pdf

Lisa Scudieri (X)
Specializes in field
Native speaker of: English
PRO pts in category: 14

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