PMC5818771_01
Chest radiography (a) and computed tomography (b) images of the patient before bilateral lung transplantation. a Significant diffuse emphysematous changes are seen on all lung fields. b Diffusely enhanced interstitial opacity on lung fields and an emphysematous bulla on the left lung are seen
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Fig1
Chest radiography and computed tomography (CT) showed significant diffuse emphysematous changes in all lung fields (Fig. 1).
Chest radiography (a) and computed tomography (b) images of the patient before minimally invasive esophagectomy. a Normalized lung fields, and sternal wires and marking clips on mediastinal field are seen. b Normalized lung fields and marking clips on the esophagus are seen
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Fig2
Chest radiography and CT showed normalized lung fields (Fig. 2), but postoperative intrathoracic adhesions were suspected.
Chest radiography (a) and computed tomography (b) images of the patient on the 3rd postoperative day. a Chest drainage tube, permeability decay, and expansion failure on the right lung fields, subcutaneous emphysema on the right chest wall, drainage tube and gastric conduit on the mediastinal field, and peripheral venous nutrition tube on the left arm are seen. b Chest drainage tube, moderate pleural effusion, and expansion failure on the right lung, and small pleural effusion on the left lung are seen
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Fig3
On the third POD, her body weight increased to a maximum value of 37.7 kg due to daily positive water balance, and chest radiography and CT showed slight pulmonary edema and pneumothorax in the right lung field (Fig. 3).
Chest radiography (a) and computed tomography (b) images before discharge. a Reexpanded right lung and gastric conduit on the mediastinal field are seen. b Reexpanded right lung, disappearance of pleural effusion, and gastric conduit on the right posterior mediastinum are seen
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Fig4
Before discharge, chest radiography and CT showed the disappearance of pulmonary edema and pneumothorax (Fig. 4).   