The is the second part of a three part CXR case. Please see the previous case for the first radiograph. You initiate treatment for the patient and get a follow-up X-ray. Here's what you see.
Challenge: Explain.
Image shown under fair use.
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2 comments:
is it a haemothorax compressing the left lung, which occurred as a result of the chest tube insertion?
ooh good answer! not what i was thinking of but certainly a possibility. there might be a hint of a costophrenic angle suggesting that it's not a pleural process, but it's on the differential.
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Out of the Frying Pan
Reexpansion pulmonary edema occurs unilaterally after rapid expansion of a collapsed lung or rarely, from evacuation of pleural fluid >1L or removal of an obstructing tumor. Mortality rate is up to 20% and treatment is supportive. The pathophysiology is unknown.
Sources: UpToDate; ispub.com The Internet Journal of Anesthesiology.
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