case_images: PMC10034413_01
case_images: Chest X-ray revealed a large left-sided pneumothorax (red star) with no tension.
case_images: gr1.jpg
case_images: PMC10034413_01_gr1.jpg
case_images: fig0005
case_images: Chest X-ray (CXR) two views revealed a large left-sided pneumothorax with no tension (Fig. 1).
case_images: Computed tomography revealed a large left pneumothorax (red star) with atelectasis (blue star).
case_images: gr2.jpg
case_images: PMC10034413_01_gr2.jpg
case_images: fig0010
case_images: Computed tomography (CT) scan of the chest displayed the left-sided chest tube outside the pleural space (Fig. 2).
case_images: Left lung and parietal pleura wedge resection biopsies revealed multiple eggs (red star) consistent with P. kellicotti along with severe chronic granulomatous inflammation and fibrosis.
case_images: gr3.jpg
case_images: PMC10034413_01_gr3.jpg
case_images: fig0015
case_images: LLL and LUL wedge resection and left parietal pleura histopathology revealed multiple parasite eggs (consistent with Paragonimus kellicotti), severe chronic granulomatous inflammation with fibrosis, negative for malignancy and changes consistent with pneumothorax (Fig. 3, Fig. 4).
case_images: Chest X-ray revealed complete resolution of pneumothorax.
case_images: gr5.jpg
case_images: PMC10034413_01_gr5.jpg
case_images: fig0025
case_images: At three weeks ID clinic and CTS clinic follow-up, he had no new symptoms, a repeat CXR two views (Fig. 5) revealed no pneumothorax, the human immunodeficiency virus serological study was negative, the chest tube surgical site was clean, and the sutures were removed.