This is likely a case of re-expansion pulmonary edema following an evacuation of a spontaneous pneumothorax. Relatively rapid resolution of pulmonary findings on CT with reduction of pneumothorax is what favors re-expansion edema rather than pulmonary hemorrhage or contusion.
Key learning points:
- Re-expansion pulmonary edema is a rare but potentially life-threatening complication of pneumothorax re-expansion and thoracocentesis procedures.
- Despite being more common in individuals age 20-39 1, it may occur in patients over the age of 40.
- Roger Rozzi, DO
- Saud Ahmed, MD
- David Gabbert, DO
- Brittany Cloud, DO