Presentation
Right ovarian cancer with peritoneal carcinomatosis. Presents with dyspnoe.
Patient Data
Moderate-volume right pleural effusion and ascites.
There is also a retrohepatic nodular peritoneal thickening with nodular pleural thickening in the right pulmonary base.
Chest drainage was not indicated and a thoracentesis was performed, with aspiration of approximately 1 L of pleural effusion.
Relapse of the pleural effusion with no obvious mediastinal shift
It was decided to perform a chest drainage
Onset of a right-sided unilateral diffuse airspace opacification with an appearance of a unilateral batwing pattern.
Onset of a diffuse airspace opacification involving almost the entire right lung with air bronchogram.
Persistence of a low-volume right-sided pleural effusion with the chest tube in situ.
Low volume left-sided pleural effusion.
Filling defect within the left pulmonary artery extending to the apical-posterior segment.
Arteria lusoria. Mediastinal lymphadenopathies in stations 2R, 4R, and 7, measuring up to 20 mm.
Stability of the airspace opacification compared to the radiograph performed 2 days prior.
Decreased airspace opacification of the right lung.
There is an almost complete regression of the airspace opacification of the lung, 9 days after the chest drainage.
Stability of the right-sided low-volume pleural effusion. Chest tube in situ.
Complete regression of the airspace opacification of the lung, 15 days after the chest drainage.
Stability of the right-sided low-volume pleural effusion. The chest tube was removed.
Case Discussion
Typical features of re-expansion pulmonary edema following rapid chest drainage and expansion of the collapsed lung. The diagnosis was made, based on the absence of lobar consolidation before the chest drainage, and its complete regression after almost 10 days.
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