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Chest radiograph showing a hemopneumothorax of the left lung.
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Auscultation yielded decreased breath sounds on the left side and a chest radiograph showed a fully collapsed left lung with pleural effusion ( Figure 1).
Chest radiograph one hour after drainage of the left hemopneumothorax showing bilateral pulmonary edema.
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To our surprise, follow-up chest radiography one hour after drainage, demonstrated diffuse bilateral airspace opacification, peribronchial cuffing and Kerley-B lines, indicating bilateral pulmonary edema ( Figure 2).
Ultrasound image of the upper right lobe.. The dotted arrows indicate the rib shadows. The horizontal arrow indicates the pleura. Between the dotted arrows B-lines can be seen in a pattern called ground-glass rockets, showing an interstitial syndrome.
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Intensive care ultrasound showed bilateral B-lines in all lung fields ( Figure 3), normal left and right ventricular function, no valvular dysfunction, normal atrial and caval vein dimensions and no pericardial effusion.