Presentation
Intercostal nerve block yesterday. Prior pectus excavatum repair. Pneumothorax concern
Patient Data
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Nuss repair.
Heart size normal. Lungs clear.
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Nuss repair of pectus excavatum.
Lucent at the left base with a deep costophrenic sulcus.
Heart size normal. Right lung clear.
Case Discussion
One could miss this pneumothorax with the distraction from the extensive and to many unfamiliar Nuss repair of a pectus excavatum chest deformity as well as its purely based location.
The radiograph from one year prior is for reference to appreciate the then normal left costophrenic recess.
Also a pretty nice fellowship viva radiograph for observation and discussion of several topics.
With thanks to Dr Heather Harris, Chesterfield Royal, UK.