Catamenial pneumothorax

Case contributed by Yi-Jin Kuok
Diagnosis probable

Presentation

Recurrent pneumothoraces.

Patient Data

Age: 25 years
Gender: Female
x-ray

Left hydropneumothorax.

Unusual for a spontaneous pneumothorax.

ct

Left hydropneumothorax.

Nodularity seen at the left lung apex.

Scarring/calcification seen in the lower lobes bilaterally (intra-pulmonary endometrial deposits, recurrent bleeding, scarring).

Incidental pulmonary artery stenosis manifested by dilatation of pulmonary trunk.

Pleuroscopic image

Photo

Dark red deposits on the visceral pleura of the left lung.

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