case_images: PMC3989908_01
case_images: Chest radiograph showing bilateral lower zone consolidation with blunting of right costophrenic angle suggestive of mild pleural effusion
case_images: TI-21-112-g001.jpg
case_images: PMC3989908_01_TI-21-112-g001.jpg
case_images: F1
case_images: Initial arterial blood gas (ABG) analysis, hemogram, and serum electrolytes were normal, however, chest radiograph showed bilateral lower zone consolidation with right-sided mild pleural effusion [Figure 1].
case_images: Chest radiograph showing increased consolidation on right side with moderate pleural effusion. Consolidation on left side remains unchanged
case_images: TI-21-112-g002.jpg
case_images: PMC3989908_01_TI-21-112-g002.jpg
case_images: F2
case_images: ABG showed hypoxia (Po2 52 and Pco2 32 mmHg) and repeat X-ray chest showed increased consolidation on right side with moderate pleural effusion, left sided consolidation remained unchanged [Figure 2].
case_images: Chest radiograph showing right-sided hydropneumothorax with underlying consolidation. There was resolution of left lower lobe consolidation
case_images: TI-21-112-g003.jpg
case_images: PMC3989908_01_TI-21-112-g003.jpg
case_images: F3
case_images: On follow up visit after 2 weeks she had complaints of dyspnoea and fresh chest X-ray showed right-sided moderate hydropneumothorax [Figure 3].
case_images: Chest radiograph showing decreased right sided hydropneumothorax with mild expansion of right upper lung with drainage tube in situ
case_images: TI-21-112-g004.jpg
case_images: PMC3989908_01_TI-21-112-g004.jpg
case_images: F4
case_images: Repeat X-ray showed persistent hydropneumothorax, although there was no drainage from ICD tube [Figure 4].
case_images: Computed tomography thorax at lung window settings shows large hydropneumothorax with little air fluid level on right side with few septations with drainage tube in situ. There is a small cavitatory lesion seen in the lower lobe of left lung with mild consolidation at the periphery of the cavity
case_images: TI-21-112-g005.jpg
case_images: PMC3989908_01_TI-21-112-g005.jpg
case_images: F5
case_images: Small cavitatory lesions were also seen on left side with peripheral consolidation [Figures 5 and 6].
case_images: Computed tomography thorax at mediastinal window setting showing right-sided hydropneumothorax with underlying consolidation with air bronchogram sign
case_images: TI-21-112-g006.jpg
case_images: PMC3989908_01_TI-21-112-g006.jpg
case_images: F6
case_images: Small cavitatory lesions were also seen on left side with peripheral consolidation [Figures 5 and 6].