PMC10395095_01
Chest X-ray on admission.
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F1
Chest x-ray (Figure 1) showed a right apical pneumothorax (with chest tube previously inserted) and extensive diffuse bilateral consolidations with bronchus sign.
Fluids from WLL.
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F2
During the second procedure, a complete left lung lavage and a partial right lung lavage were performed (Figure 2).
(A) HRTC scan at admittance; (B) HRTC scan after right lung lavage was performed; (C) HRTC scan after WLL was completed.
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F3
During the first procedure, a total of 5,500 mL, in aliquots of 1,000 mL, of warm (37 C) sterile saline solution (0.9% NaCl) were instilled in the right lung (Figure 3B). Chest HRCT (Figure 3C) performed after the WLL showed a dramatic improvement of the GGO and the appearance of a left pleural effusion, possibly secondary to intraoperative hydro trauma, which rapidly responded to diuretic therapy with furosemide.