PMC8133856_01
Complete left-sided pneumothorax (a); complete pulmonary reexpansion just after drainage (b); reexpansion pulmonary edema 4 hours after drainage (c); hematological variations before drainage and 5 hours later just after reexpansion pulmonary edema onset (d).
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Clinical examination and an inspiratory chest X-ray showed a complete left-sided pneumothorax with a right-sided deviation of the heart outline (Figure 1(a)). Both X ray and pleural echography following drainage showed a fully reexpanded left lung but with an abnormal parenchyma (Figure 1(b)). CT scan were quickly performed. CT scan revealed an unknown bilateral centrolobular and paraseptal emphysema, an incomplete pulmonary reexpansion with persistent pneumothorax, a pneumomediastinum, and a massive left-sided pulmonary edema with alveolar condensation (Figure 1(c)). Biological results obtained just after CT scan return were remarkable (Figure 1(d)) when compared to the emergency department entry's results 5 hours before.