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Chest X-ray revealed a large left-sided pneumothorax (red star) with no tension.
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Chest X-ray (CXR) two views revealed a large left-sided pneumothorax with no tension (Fig. 1).
Computed tomography revealed a large left pneumothorax (red star) with atelectasis (blue star).
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Computed tomography (CT) scan of the chest displayed the left-sided chest tube outside the pleural space (Fig. 2).
Left lung and parietal pleura wedge resection biopsies revealed multiple eggs (red star) consistent with P. kellicotti along with severe chronic granulomatous inflammation and fibrosis.
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LLL and LUL wedge resection and left parietal pleura histopathology revealed multiple parasite eggs (consistent with Paragonimus kellicotti), severe chronic granulomatous inflammation with fibrosis, negative for malignancy and changes consistent with pneumothorax (Fig. 3, Fig. 4).
Chest X-ray revealed complete resolution of pneumothorax.
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At three weeks ID clinic and CTS clinic follow-up, he had no new symptoms, a repeat CXR two views (Fig. 5) revealed no pneumothorax, the human immunodeficiency virus serological study was negative, the chest tube surgical site was clean, and the sutures were removed.