PMC7430075_01
Computed tomography scan showing multifocal nodular opacities in the right upper lobe of lung (A) and the left lower lobe of lung (B).
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When he presented again to the hospital with worsening shortness of breath, a repeat chest CT was ordered, which in comparison with the CT scan 1 month ago, showed variably changed pulmonary opacities, with new/increased areas of more focal consolidation the right upper lobe (Figure 1A) and left lower lobe (Figure 1B), and with decreased nodular and ground glass opacities elsewhere in the lungs.
Initial chest X-ray obtained 35 minutes after bronchoscopy with transbronchial biopsy in the semi-upright position.
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Chest X-ray (CXR) obtained 35 minutes after the procedure was negative for pneumothorax (Figure 2).
Follow-up chest X-ray performed when the patient was symptomatic (22 hours after transbronchial biopsy). Figure shows the presence of a left-sided apical pneumothorax (black arrow delineates the pleural line).
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A follow-up CXR performed the following day on an outpatient basis revealed a worsening pneumothorax (Figure 3) and the patient was re-admitted for further management.