Presentation
Elderly female with a prior history of malignancy. Short of breath.
Patient Data
Age: 70 years
Gender: Female
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Complete opacification of the right hemithorax.
The trachea remains in the midline. No mediastinal shift.
Left lung clear.
Case Discussion
Classical appearances of a complete white out of the hemithorax.
In this case it was due to a large pleural effusion with underlying lung collapse, hence no mediastinal shift.
The combination of 'push' from the effusion and 'pull' from the collapse has resulted in the trachea staying in the midline.