PMC6083431_01
A) AP Chest radiograph demonstrating complete opacification of the left lung with mediastinal shift to the right and a small right-sided pleural effusion. B) Chest CT demonstrating extra-luminal free air in the mediastinum (red arrow), left-sided hydropneumothorax and small right-sided pleural effusion. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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Chest computerized tomography (CT) demonstrated a large left hydropneumothorax with free air around the esophagus (Fig. 1).
PMC6083431_02
A) AP Chest radiograph demonstrating a right-sided tension hydropneumothorax with mediastinal shift to the left (red arrows). B) Chest CT demonstrating free air around the esophagus (E) communicating (red arrow) with the pleural space. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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On hospital day 10, he developed tachycardia, tachypnea, hypoxemia, and chest pain, with opacification of the right hemithorax with mediastinal shift (Fig. 2).