Presentation
Intercostal nerve block yesterday. Prior pectus excavatum repair. Pneumothorax concern
Patient Data
Nuss repair.
Heart size normal. Lungs clear.
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.