PMC9462453_01
(A) CT scan of his chest, show the left lung and the right lower lobe consolidation, with atelectasis in the lower lobe of the left lung. The left pleural cavity showed a small amount of pleural effusion, and the lumen of the bronchial branch of the left lower lobe was not unobstructed. (B) Bronchoscopy, show the basal segment of left lower lobe, the bronchial mucosa was rough, a large number of yellow and white mucus plugs were found in the opening, and the ventilation was not smooth. (C) Chest CT scan. Indicate consolidation of left and right upper and lower lobes with signs of atelectasis and multiple cavities in the left lung, partially wrapped left pneumothorax. (D) Thoracoscopy, show the lung surface covered with a yellow purulent moss-like layer.
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F1
The computed tomography (CT) scan of his chest showed atelectasis and a small amount of pleural effusion (Figure 1A). The following day, the patient was not doing well and developed a stridor; hence, the decision was made to perform a flexible bronchoscopy with bronchoalveolar lavage (BAL) under ECG monitoring and respiratory oxygen support after employing local anesthesia (Figure 1B). B-scan ultrasound and CT imaging (Figure 1C) of thorax revealed massive bilateral pleural effusions and multiple cavities in the left lung. The patient underwent thoracoscopy to diagnose and treat pleural effusion (Figure 1D).
Diagrammatic representation of the treatment and outcome.
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F2
A diagrammatic representation of the treatment and outcome was presented in Figure 2.