PMC6360002_01
The axial chest Ct-scan of the patient on the first day of admission demonstrating the right sided chest consolidation and contusion along with hemothorax (A); the axial chest CT-scan of the patient on day 4 of admission demonstrating severe right sided hemothorax (B)
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F1
CT scan on the fourth day of ICU admission was done, showed moderate right side pleural effusion besides underlying lung contusion (Figure 1). Considering patient's clinical condition, decision was made to insert a pleural catheter.
The ultrasonography of the chest after the pneumothorax demonstrating the barcode sign (A) and lung point (B) the classic findings of the pneumothorax on ultrasonography (the arrow)
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F2
Also in M-mode, in zones 1, 2, 3 and 4 of the BLUE points, "barcode sign" was observed (this would give the appearance of multiple horizontal lines similar to a barcode) and in zone 2 of the blue points, "lung point" was seen (that is a point at which the lung and air can easily be visualized in the same M-mode image) (Figure 2).
The Supine chest radiography of the patient demonstrating the pleural catheter (arrow) in the left upper lung along with pneumothorax (A); axial chest CT-scan demonstrating the pneumothorax (arrow) after catheter insertion (B)
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F3
Chest radiography and CT-scan was done and ultrasonographic diagnosis was confirmed (Figure 3).
Improvement of pneumothorax after connecting the catheter to the bottle demonstrated on the axial chest CT-scan
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F4
This issue was confirmed with chest CT scan (Figure 4).