Presentation
Shortness of breath. Two days post pleural tap.
Patient Data
Age: 50 years
Gender: Female
From the case:
Trapped lung
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Right basal hydropneumothorax with increased opacity and volume loss in the right lower zone. Mild cardiomegaly.
Case Discussion
This patient has features of trapped lung on chest x-ray and CT (not shown), which occurs post pleural tap:
- basal pneumothorax
- right basal opacity (reflecting thickened pleura and atelectasis as demonstrated on CT)
She has a history of ovarian cancer with pleural metastases and recurrent pleural effusions. The pneumothorax is a result pleural inflammation causing bronchopleural fistulas and unexpanded lung rather than being procedure related. These pneumothoraces will often not resolve with placement of an ICC.
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