PMC3350193_01
Chest roentgenogram showing massive left pneumothorax (1) with collapsed left lung (2). Intercostal drain is seen in situ with residual pyothorax (3).
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fig1
CXR, there was large pneumothorax on left side with completely collapsed left lung, while the right lung field was normal (Figure 1). CT chest revealed left massive pneumothorax with near complete collapse of the left lung and overlying grossly thickened pleura (Figure 2).
(a) (transverse sections) and (b) (coronal sections) contrast-enhanced computerised tomogram chest showing massive left pneumothorax with near complete collapse left lung and significant pleural thickening with adhesion to chest wall. Intercostal drain with residual pyothorax is also seen.
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fig2
CXR, there was large pneumothorax on left side with completely collapsed left lung, while the right lung field was normal (Figure 1). CT chest revealed left massive pneumothorax with near complete collapse of the left lung and overlying grossly thickened pleura (Figure 2).
(a) Collapsed left lung with pleural thickening and adhesions and massive air leak preventing expansion. (b) Ruptured endocyst found adherent to left upper lobe.
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fig3
A ruptured hydatid endocyst was found adhered to the thickened pleura overlying left lower lobe (Figures 3(a) and 3(b)).
Left lung after decortications with leaking bronchial openings in floor of left upper lobe which were repaired.
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fig4
A bronchopleural fistula was seen originating from floor of probable site of ruptured cyst cavity in left upper lobe of lung which was repaired with prolene sutures (Figure 4).