PMC7086437_01
Initial chest X-ray showing complete opacification of the right hemithorax from pneumonectomy. Right mediastinal shift present. Diffuse infiltrates noted in the left lung.
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Initial CXR showed left-sided infiltrate with pleural effusion as well as complete opacification of the right hemithorax with right mediastinal shift (Figure 1).
Repeat chest X-ray done one day after admission. Patient noted to have worsening hypoxia and increased work of breathing and was subsequently intubated. Chest X-ray significant for worsening of the left-sided superior perihilar infiltrate.
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Repeat CXR showed worsening of the left-sided infiltrate (Figure 2).
Chest X-ray done after advancement of the endotracheal tube, shown in the image to be projected toward the right side of the trachea. Persistent airspace disease noted in the left upper lobe.
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ICU course, oxygenation and ventilation proved to be difficult. In addition, his endotracheal tube was repositioned several times leading to temporary improvements in oxygenation (Figure 3).
Chest X-ray showing significant worsening of the L-sided infiltrate, leading to complete opacification of the left lung.
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Unfortunately, due to his progressively worsening clinical condition, which was also verified by the worsening chest X-ray (Figure 4), he was transitioned to comfort care measures and expired.