Presentation
Right sided pneumothorax. Follow up.
Patient Data
Age: 60 years
Gender: Male
From the case:
Encysted perifissural hydropneumothorax
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Hyperinflated lungs.
Small hydropneumothorax.
7cm elliptical part fluid-gas filled opacity in the left mid zone.
Case Discussion
Rarely encysted pleural effusions are identified in the fissures. This is the first time I have had a case of an encysted perifissural hydropneumothorax.
Air and fluid have equal rights to track into the fissure. It's a pretty unusual (and cool) appearance, which if one approaches logically and with first principles makes sense.
A good case to try on friends, especially those prior to a VIVA exam.
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