Loculated pneumothorax

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Status post subdural evacuation with positive pressure ventilation became short of breath.

Patient Data

Age: Elderly
Gender: Male
x-ray
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Info

A large lucent area with surrounding compressed lung is noted on the right without convincing shift of the mediastinum. 

ct
Coronal
lung window
Axial lung
window
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Info

Single coronal and axial CT images demonstrating extensive adhesions at the right apex with a pneumothorax. 

PreOppreventilation CXR

x-ray
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The preoperative chest x-ray demonstrates extensive scarring, particularly in the right apex. 

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

Loculated pneumothoraces can be challenging to diagnose.

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