Hydropneumothorax

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Admitted with acute SOB.

Patient Data

Age: 60 years
Gender: Male
x-ray

Moderate left side hydropneumothorax.

Heart size normal. Right lung clear.

x-ray

Massive left pleural effusion with mediastinal shift.

Right lung clear.

Case Discussion

A nice example of a hydropneumothorax with a straight air-fluid interface.

This occurred from air introduced during pleural drainage (i.e. iatrogenic). Other common causes include post trauma and intrathoracic surgery.

It was treated with pleural drain placement.

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