Presentation
Sudden shortness of breath. No trauma.
Patient Data
Age: 40 years
Gender: Male
From the case:
Hydropneumothorax
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Large right hydropneumothorax with collapsed right lung and mediastinal shift.
Left lung clear. Heart size normal.
Normal bony thorax.
Case Discussion
This was a spontaneous hydropneumothorax, subsequently managed with pleural drain insertion.
The straight air-fluid level is the typical appearance of a hydropneumothorax, as opposed to a meniscus observed in a pleural effusion.