PMC3926366_01
Preoperative chest X-ray: essentially normal.
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Her chest X-ray (Figure 1) was normal and she was asymptomatic.
Chest X-ray showing right upper lobe whitening.
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CXR was immediately obtained and it revealed a contained white out in the right upper lung field (Figure 2).
Postprocedural chest X-ray showing right mediastinal hematoma. Thoracic and vascular surgery team was consulted immediately and the decision was made to emergently take the patient to the operating room for evacuation of a mediastinal hematoma. Central and arterial access was obtained and transfusion of packed red blood cells (PRBC) was started. The hemodynamic status improved.
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A third CXR was obtained during this time revealing the progression of a hemothorax in the right side of the chest (Figure 3).
Postoperative chest X-ray: significant improvement of the right mediastinal hemothorax.
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Postoperative CXR was done showing marked improvement of the right-sided hemothorax (Figure 4).