PMC3909902_01
High resolution computed tomography scan of the chest. Large mantle pneumothorax at the level of the right middle lobe, observed 3 days after hysterectomy.
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F1
The pneumothorax (Figure 1) was managed with a thoracostomy tube drainage.
Standard chest X-ray on the tenth postoperative day. New mantle pneumothorax on the right side with diffuse interstitial infiltrates in mid field of the left lung and left pleural effusion. No cysts or bullae visible.
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F2
On the tenth postoperative day, she developed a new spontaneous pneumothorax on the right side (Figure 2), with respiratory rate increased to 28 breaths/min; the pathological event was managed with a thoracostomy tube drainage.
High resolution computed tomography scan of the chest. Extensive areas of air-space consolidations in both lungs and bilateral alveolar opacities. Pneumothorax at the level of the left lower lobe with bilateral pleural effusions.
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F3
On the twenty-fifth postoperative day, a chest CT scan demonstrated a left-sided pneumothorax (Figure 3) with dense consolidations of the left upper and middle pulmonary lobes along with multiple areas of alveolar infiltrates in the upper and middle right pulmonary lobes.
Standard chest radiography performed on the day of discharge from the hospital. Approximately one month after corticosteroid therapy, a dramatic improvement of pneumonic inflammation was observed with amelioration of bilateral infiltrates. Absence of pleural effusions.
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F4
After 20 days in the surgery department, the patient was discharged (Figure 4) with a course of oral prednisone that was tapered for 14 days.