PMC3161235_01
Chest roentgenogram showing left-sided tension hydropneumothorax with contralateral mediastinal shift.
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A left-sided hydropneumothorax was diagnosed in the chest roentgenogram with contralateral mediastinal shift (Figure 1).
Coronal computed tomography reconstruction with oral contrasted medium through the feeding tube. A heterogeneous solid mass with extensive necrotic areas in the left renal space invades the posterior wall of the stomach. The gastropleural fistula originates from the greater curvature extending to the left subfrenic space. Bilateral pleural effusion and partial athelectasis from the left lower lobe with air bronchograms are observed. Other small hipoattenuating hepatic lesions can also be seen due to hepatic metastasis.
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Computed tomography with oral contrasted medium through the feeding tube showed a gastropleural fistula originating from the greater curvature and extending to the left subphrenic space (Figure 2).