case_images: PMC8627357_01
case_images: Initial CT chest without contrast findings.
case_images: CRICC2021-7050775.001.jpg
case_images: PMC8627357_01_CRICC2021-7050775.001.jpg
case_images: fig1
case_images: A CT chest without contrast revealed diffuse consolidative processes, cavitation foci, diffuse mediastinal and axillary lymphadenopathy, pleural effusions, and areas concerning for septic emboli (see Figure 1).
case_images: Transesophageal echocardiogram results.
case_images: CRICC2021-7050775.002.jpg
case_images: PMC8627357_01_CRICC2021-7050775.002.jpg
case_images: fig2
case_images: A transesophageal echocardiogram was performed that revealed no valvular abnormalities as well (see Figure 2).
case_images: Initial right-sided pneumothorax.
case_images: CRICC2021-7050775.003.jpg
case_images: PMC8627357_01_CRICC2021-7050775.003.jpg
case_images: fig3
case_images: Figure 3) requiring surgical chest tube placement, paralytic usage in addition to renal replacement therapy due to worsening acidosis and uremia. Following the initial placement of the surgical chest tube, a subsequent PTX (see Figure 3) occurred, requiring an additional surgical chest tube to be placed with the resolution of the PTX.
case_images: Panthoracic subcutaneous emphysema with single chest tube in place s/p resolution of recurrent PTX.
case_images: CRICC2021-7050775.004.jpg
case_images: PMC8627357_01_CRICC2021-7050775.004.jpg
case_images: fig4
case_images: Two days following the removal of the first chest tube, the patient spontaneously had the development of large subcutaneous emphysema spreading of the anterior thorax that was improved with increasing the wall suction of the existing chest tube (see Figure 4).