PMC3989908_01
Chest radiograph showing bilateral lower zone consolidation with blunting of right costophrenic angle suggestive of mild pleural effusion
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F1
Initial arterial blood gas (ABG) analysis, hemogram, and serum electrolytes were normal, however, chest radiograph showed bilateral lower zone consolidation with right-sided mild pleural effusion [Figure 1].
Chest radiograph showing increased consolidation on right side with moderate pleural effusion. Consolidation on left side remains unchanged
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F2
ABG showed hypoxia (Po2 52 and Pco2 32 mmHg) and repeat X-ray chest showed increased consolidation on right side with moderate pleural effusion, left sided consolidation remained unchanged [Figure 2].
Chest radiograph showing right-sided hydropneumothorax with underlying consolidation. There was resolution of left lower lobe consolidation
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F3
On follow up visit after 2 weeks she had complaints of dyspnoea and fresh chest X-ray showed right-sided moderate hydropneumothorax [Figure 3].
Chest radiograph showing decreased right sided hydropneumothorax with mild expansion of right upper lung with drainage tube in situ
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F4
Repeat X-ray showed persistent hydropneumothorax, although there was no drainage from ICD tube [Figure 4].
Computed tomography thorax at lung window settings shows large hydropneumothorax with little air fluid level on right side with few septations with drainage tube in situ. There is a small cavitatory lesion seen in the lower lobe of left lung with mild consolidation at the periphery of the cavity
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F5
Small cavitatory lesions were also seen on left side with peripheral consolidation [Figures 5 and 6].
Computed tomography thorax at mediastinal window setting showing right-sided hydropneumothorax with underlying consolidation with air bronchogram sign
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F6
Small cavitatory lesions were also seen on left side with peripheral consolidation [Figures 5 and 6].