PMC8349041_01
(A & B)- A- A right-sided pneumothorax, moderate right-sided pleural effusion, and compressive atelectasis of right lower lobe can be visualized.. B-Patient's prior normal chest x-ray from a few months ago was obtained from medical records.
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Table 1. The chest x-ray revealed a right-sided pneumothorax with >1 cm air gap and a moderate right-sided pleural effusion (Fig. 1-A).
C.T. scan chest showing air and fluid in pleural cavity.
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CT chest revealed air and fluid predominantly in right pleural cavity (Fig. 2).
(A, B, C): EGD revealing posterior esophageal rupture and gastric ulcers. Friable, nodular, and hemorrhagic mucosa is seen surrounding the perforation. A large 2 cm clot was seen in gastric antrum overlying a possible cratered ulcer (Forest IIB).
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Gastric ulcers were also seen (Fig. 3).
(A & B)- A- Interval placement of worsening right-sided pleural effusion and placement of right-sided basal pigtail catheter. B-No improvement seen after three days.
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A CT-guided catheter (pigtail) was placed in the right-sided pleural cavity and was draining well, but within the next 24 hours, the patient started to decompensate again (Fig. 4).