Presentation
Tachypnea in recovery post left axillary clearance
Patient Data
Age: 55 years
Gender: Female
From the case:
Post intubation upper lobe collapse
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There is evidence of left upper lobe collapse, evident by left hemidiaphragm elevation, ipsilateral rib crowding and a veiling left thoracic opacity. The right lung is spared. Subcutaneous emphysema and left axillary drain in keeping with known recent surgery.
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Re-expansion of the left upper lobe with normalization of the left hemidiaphragm and resolution of the left sided veiling opacity.
Left axillary post surgical changes again demonstrated.
Case Discussion
In the acute post operative setting, lung collapse may be caused by a mucus plug or bronchial intubation. The clinical team thought the former in this case.
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