PMC6199769_01
(A) Chest radiograph taken before thoracentesis demonstrating a large left-sided pleural effusion. (B) Post-thoracentesis chest radiograph demonstrating an air-fluid level over the left lung apex, compatible with hydropneumothorax, and minimal left lung expansion.
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Previous radiographs showed increasingly large pleural effusions, evidence of non-expanding lung and hydropneumothorax following thoracenteses (Fig. 1).
(A) Post-thoracentesis computed tomography scan showing left hydropneumothorax, left lung collapse, and rightwards mediastinum shift.
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Afterwards, the CT scan showed a completely collapsed left lung, left-sided pleural effusion and pneumothorax, and right-sided mediastinum shift (Fig. 2).