Presentation
D10 post-cardiac surgery and chest drain. Left-sided apical pneumothorax and surgical emphysema. Increase work of breathing. Reduced AE on the left side. Pneumothorax?
Patient Data
Age: 5 months
Gender: Female
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Moderate left-sided pleural effusion, extending to the apex. The oblique fissure is delineated by fluid.
No pleural air.
Right lung clear.
Case Discussion
Sharing a case of a significant sized pleural effusion in an infant, something many of us don't observe too often, unlike in adults.
As the radiograph projection is supine, the appearance is more layered in nature reaching the apex, rather than having a lateral meniscus.