PMC7550067_01
Large Left sided Pneumothorax. Mild mediastinal shift to right. Right midzone consolidation also present.
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An urgent chest x-ray showed a large left sided tension pneumothorax (Fig. 1) with mediastinal shift.
New right sided Pneumothorax. Extensive bilateral patchy consolidation. Chest drain In situ on left side.
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Bilateral chest drains in situ. The lung apices appears emphysematous. No definite residual pneumothorax. Bilateral mid and lower zone airspace shadowing.
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The right lung re-expanded on chest x-ray (Fig. 3).
Bilateral predominantly apical lung air cysts mainly subpleural and more left sided. Bilateral extensive pneumonic consolidative patches more confluent in the bases. Residual left anterior pneumothorax.
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A CT chest scan (Fig. 4a-d) showed resolution of the right sided pneumothorax, but ongoing left mild anterior pneumothorax.
Compared to previous CXR, mild reduction in consolidation. Both lungs fully expanded.
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Both chest drains were no longer swinging or bubbling, while on repeat chest x-rays, both lungs were fully re-expanded (Fig. 5).