Presentation
Chest pain.
Patient Data
Age: 70 years
Gender: Male
Frontal

Right-sided volume loss with mediastinal shift and diaphragmatic elevation. Reticular opacity throughout the right lung.
Left lung is hyperinflated but clear.
Sternotomy wires.
Case Discussion
This patient had a history of idiopathic pulmonary fibrosis with a left lung transplant, which explains the chest x-ray nicely.