PMC6020493_01
5.2 x 3.7 cm cavitary lesion containing an air-fluid level. An additional air-fluid level is present along the right lateral hemithorax.
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fig1
Chest X-ray (CXR) (PA and lateral views) in the emergency department revealed a cavitary lesion with an air-fluid level within the anterior medial right hemithorax and a loculated hydropneumothorax along the right lateral lung base (Figure 1).
Hydropneumothorax.
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This was interpreted as demonstrating a complex bronchopleural fistula and associated empyema (Figure 2).
Two rim-enhancing hypodense lesions within the central mesentery of the abdomen.
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fig3
CT abdomen and pelvis with contrast demonstrated two rim-enhancing hypodense lesions (measuring 2.9 x 3.8 cm transverse and 3.2 x 4.5 cm transverse) within the central mesentery of the abdomen (Figure 3).
Resolution of hydropneumothorax.
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fig4
At seven months, the CT demonstrated complete resolution of the right-sided pneumothorax (Figure 4).