PMC3259135_01
Initial chest x-ray shows pneumothorax in left hemithorax (white arrow) and partially collapsed left lung.
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F1
CXR confirmed the presence of pneumothorax in the left lung (Fig. 1).
Initial ultrasound images of the second intercostal space. White arrow indicates parietal pleura without lung sliding sign. Blanked arrow indicates horizontal artifacts.
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F2
This procedure revealed absence of the lung sliding sign and comet-tail artifact at the pleural line (Fig. 2).
Ultrasound image during aspiration of air in the interpleural space. Arrowhead indicates the needle tip bellow the parietal pleura.
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F3
Needle thoracotomy was performed in the left second intercostal space on the midclavicular line with an 18 gauge intravenous cannula by ultrasound-guided out-of-plane approach (Fig. 3).
A picture which shows aspiration using 18 gauge angiocatheter, 3 ways valve and 50 ml syringe. A angiocatheter is placed in the second intercostal area. A large block dot indicate the nipple of patient.
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F4
Aspiration with 50 ml syringe and 3 ways valve was started (Fig. 4).
Chest-x ray after air aspiration shows shows decreased size of pneumothorax (arrowhead).
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F5
Following aspiration, CXR was performed to confirm successful treatment of the pneumothorax (Fig. 5).