PMC6106908_01
PMC6106908_02
PMC6106908_03
Chest X-ray on admission showing a right-sided pneumothorax prior to insertion of the chest tube.
CRIRA2018-8129341.001.jpg
PMC6106908_03_CRIRA2018-8129341.001.jpg
fig1
On admission the patient had a right-sided pneumothorax on chest X-ray (Figure 1). His chest X-ray (Figure 1) showed significant right-sided pneumothorax with partial collapse of the right lung.
PMC6106908_04
Chest X-ray after insertion of the chest tube showing improvement in the right-sided pneumothorax with subcutaneous emphysema.
CRIRA2018-8129341.002.jpg
PMC6106908_04_CRIRA2018-8129341.002.jpg
fig2
Chest X-ray showing worsening of the pneumothorax despite presence of a chest tube.
CRIRA2018-8129341.003.jpg
PMC6106908_04_CRIRA2018-8129341.003.jpg
fig3
Chest CT axial cut magnified showing the location of the chest tube in relation to the chest wall and parietal pleura. White arrow: parietal pleural.
CRIRA2018-8129341.004.jpg
PMC6106908_04_CRIRA2018-8129341.004.jpg
fig4
The chest tube was noted to be intrathoracic but extrapleural with the parietal pleura shown as thin layer in some of the transverse cuts (Figure 4).
Chest CT scan sagittal cuts showing the chest tube location.
CRIRA2018-8129341.005.jpg
PMC6106908_04_CRIRA2018-8129341.005.jpg
fig5
Sagittal and coronal planes show the chest tube inside the chest cavity but in the extrapleural space adherent to the inner side of the right chest wall (Figure 5).
Chest X-ray after insertion of a new chest tube and resolution of the right-sided pneumothorax.
CRIRA2018-8129341.006.jpg
PMC6106908_04_CRIRA2018-8129341.006.jpg
fig6
A chest X-ray obtained after insertion revealed total resolution of the pneumothorax (Figure 6).
PMC6106908_05