PMC7718142_01
CT Scan on admission in sagittal (A), frontal (B) and axial (C) projections and 3D reconstruction (D).
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On the left lung, a giant fibrotic cavity of up to 15 cm in diameter with a liquid level occupied almost the entire upper lobe (Fig. 1A-D).
A - 3D-recunstruction after upper lobectomy with partial S6 resection on the left. B - gross section. C - Tomosynthesis and D - CT scan in frontal projection after the second stage.
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Upper lobectomy with partial S6 resection was performed on the left lung (Giller D.B.) (Fig. 2A). A giant cavern was found in the resected specimen (Fig. 2B). Delayed lung expansion occured in the postoperative period (Fig. 2C). After 1 year, CT scan showed a completely expanded lung (Fig. 2A, D).
A - Gross section of destroyed right lung and empyema cavity together. B - Plain chest film after surgery. C,D - CT 3D-reconsctructions a year after surgery.
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The resected specimen included the destroyed right lung and empyema cavity (Fig. 3A). The postoperative period was uneventful, and TB chemotherapy was continued. The patient was discharged in satisfactory condition with a completely filled postpneumonectomy cavity (Fig. 3B). CT did not detect signs of TB reactivation (Fig. 3C.D).