PMC8602041_01
(A) CXR on day 1 shows left pneumothorax and lung collapse (arrow), with mild rightward shift of the mediastinum. (B, C) Chest CT scan on day 4 showing bilateral apical blebs and left pneumothorax (arrow), (D) Apical blebs visualized during VATS (arrow).
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In ED, he received NSAIDs for pain, and his chest x-ray (CXR) revealed a left pneumothorax with a mild rightward shift of the mediastinum (Fig. 1A). As the air leak persisted, a chest CT scan was performed, which showed bilateral apical blebs and the pneumothorax on the left side (Fig. 1B and C). He underwent left-sided video-assisted thoracoscopic surgery (VATS) with left apical pulmonary wedge resection and chemical and mechanical pleurodesis on day five of admission (Fig. 1D).
PMC8602041_02
(A) CXR on day 1 showing right pneumothorax (arrow) and pneumomediastinum. (B) CXR on day 4 showing resolution of pneumothorax.
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In the ED, she was found to have a right-sided moderate pneumothorax and pneumomediastinum on CXR (Fig. 2A). The chest tube was removed on day 4 when no air bubbles were observed under the water seal, and CXR showed lung re-expansion (Fig. 2B).
PMC8602041_03
(A, B) CXR with PA and lateral views on day1 showing left pneumothorax (arrow). (C) CXR on day 4 showing resolution of pneumothorax.
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A CXR revealed a left-sided pneumothorax (Fig. 3A and B). Repeat CXR did not show any pneumothorax after chest tube removal on day 4 of admission when he was discharged home. (Fig. 3C).