case_images: PMC7576439_01
case_images: Large right-sided pneumothorax with mediastinal shift towards left.
case_images: gr1a.jpg
case_images: PMC7576439_01_gr1a.jpg
case_images: fig1a
case_images: A right sided intercoastal chest drain was inserted. After another 5 days he complained of left sided chest pain and a chest radiograph this time confirmed a large left sided pneumothorax (Fig. 1b). A CT chest was performed which showed bilateral pneumatoceles/bullous disease with a pneumatocele/bullae in right and left lower lobes respectively (Fig. 1c).
case_images: PMC7576439_02
case_images: Left-sided pneumothorax. Right-sided chest tube in situ.
case_images: gr1b.jpg
case_images: PMC7576439_02_gr1b.jpg
case_images: fig1b
case_images: His CXR revealed bilateral lower zone non-homogenous infiltrates (Fig. 2A). A CT chest was requested which revealed a large right sided pneumothorax, consolidation of the right basal segments, and multifocal bilateral ground glass opacities in both lungs. (Fig. 2B).
case_images: PMC7576439_03
case_images: Right-sided pneumatocele/bullae seen with associated right lower lobe ground glass opacities; and left sided pneumothorax and pneumatocele.
case_images: gr1c.jpg
case_images: PMC7576439_03_gr1c.jpg
case_images: fig1c
case_images: An incidental finding of a small right-sided pneumothorax was also noted (Fig. 3A). HRCT chest on day 55 (Fig. 3B) showed no parenchymal abnormalities. He was discharged on 1L of home oxygen with a plan to review in the respiratory clinic in 6 weeks' time.