PMC5939033_01
A 71-year-old man with right upper lobe T3N1M0 squamous cell carcinoma. (a) Axial computed tomography images in lung and soft-tissue windows showing an obstructive right hilar mass lesion with an endobronchial component at the origin of the right upper lobe bronchus (arrow). (b and c) Axial and coronal positron emission tomography/computed tomography images showing avid F-18 fluorodeoxyglucose uptake with the mass (arrow).
JCIS-8-17-g002.jpg
PMC5939033_01_JCIS-8-17-g002.jpg
F1
A 71-year-old man was diagnosed with locally advanced right upper lobe (RUL) T3N1M0, stage IIIA, SCCA in 2014 [Figure 1], which occluded the origin of the RUL bronchus and extended into the right mainstem bronchus.
(a and b) Chest X-ray and coronal computed tomography reformation demonstrating the right pectoralis muscle flap (*) and Clagett window (arrow). (c and d) Axial computed tomography images again showing the right pectoralis muscle flap (*) and Clagett window.
JCIS-8-17-g003.jpg
PMC5939033_01_JCIS-8-17-g003.jpg
F2
A Clagett window was constructed anteriorly with resection of the 5th through 8th ribs to facilitate treatment and drainage of the infection [Figure 2].
Bronchopleural fistula in a 71-year-old man after right pneumonectomy and Clagett window. (a and b) Axial computed tomography images in lung window demonstrating a fistula between the bronchial stump and pneumonectomy space with herniation of dressing material from the right pneumonectomy space through a fistula into the trachea and left mainstem bronchus (arrow).
JCIS-8-17-g004.jpg
PMC5939033_01_JCIS-8-17-g004.jpg
F3
He was sent to the emergency department for further evaluation and a chest CT revealed herniation of dressing material through a fistula into the trachea and left mainstem bronchus [Figures 3 and 4].
(a and b) Coronal computed tomography images showing a bronchopleural fistula and herniation of dressing material thorough the defect into the carina and left mainstem bronchus (arrows) from the right pneumonectomy space.
JCIS-8-17-g005.jpg
PMC5939033_01_JCIS-8-17-g005.jpg
F4
He was sent to the emergency department for further evaluation and a chest CT revealed herniation of dressing material through a fistula into the trachea and left mainstem bronchus [Figures 3 and 4].