PMC9142177_01
CT Chest Axial and Coronal views pre- (A and B) and post- (C and D) blood-patch repair. The red arrow in Image A indicates the distal end of the surgical chest tube in the pre-repair image. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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His clinical course was complicated by an ipsilateral hemothorax, for which a surgical chest tube was placed, and underwent arterial embolization of the right internal mammary artery for hemostatic control (Fig. 1A). However, given the significant parenchymal compromise evident on imaging (Fig. 1 A and B), an adequate evaluation of fissure integrity was not reliable. Furthermore, the location of the air leak was not obvious on the CT imaging done (Fig. 1 A and B).
Occlusion of the right middle lobe.
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Occlusion of the lateral segment of the right middle-lobe (B4) resulted in rapid air leak cessation on the pleural drain (Fig. 2).