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Loculated pneumothorax

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Status post subdural evacuation with positive pressure ventilation became short of breath.

Patient Data

Age: Elderly
Gender: Male
x-ray

A large lucent area with surrounding compressed lung is noted on the right without convincing shift of the mediastinum. 

ct

Single coronal and axial CT images demonstrating extensive adhesions at the right apex with a pneumothorax. 

PreOppreventilation CXR

x-ray

The preoperative chest x-ray demonstrates extensive scarring, particularly in the right apex. 

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

Loculated pneumothoraces can be challenging to diagnose.

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