Presentation
Staus post left pneumonectomy for lung cancer.
Patient Data
Age: 60 years
Gender: Female
From the case:
Pneumonectomy
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Complete opacification left hemithorax with shift of the mediastinum to the left and elevated left diaphragm. Left sided surgical clips. Central line appropriately positioned.
From the case:
Pneumonectomy
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Post left pneumonectomy.
Case Discussion
The 2 most common reasons for complete opacification of a hemithorax are complete atelectasis of a lung and massive pleural effusion. Patients who have had a pneumonectomy have findings similar to complete atelectasis because both result in decreased volume of the affected hemithorax. The key to distinguishing the 2 possibilities is recognizing post-operative findings like surgical clips in pneumonectomy patients .
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