PMC7578547_01
Comparison of chest X-rays before and after IPC insertion; X-ray on left shows a large left sided pleural effusion [A] with tracheal deviation to the right [B]; X-ray on the right is after IPC insertion, showing left sided pleural catheter in situ [C] and improved aeration of left lung [D]. No pneumothorax or subcutaneous emphysema seen.
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fig1
There was no pneumothorax visualized, and he was discharged home that day (Fig. 1).
Chest X-Ray done on presentation to the emergency department, showing left pneumothorax [A] with extensive subcutaneous emphysema [B] in the chest wall and extending to the neck bilaterally.
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A repeat chest X-ray demonstrated a moderate left-sided pneumothorax as well as extensive subcutaneous emphysema (Fig. 2).
CT Thorax; Mediastinal window [top] shows left pleural thickening [A]. Lung window [bottom] shows left sided pneumothorax [B] and pleural thickening [A]. Also seen are the two intercostal drains in the pleural space [C, D] and extensive subcutaneous emphysema [E] bilaterally along with pneumomediastinum [F].
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A CT scan of the chest showed a moderate left sided pneumothorax, with both the drains being well sited and no evidence of any bronchopleural fistula (Fig. 3).