case_images: PMC10395095_01
case_images: Chest X-ray on admission.
case_images: fmed-10-1225167-g0001.jpg
case_images: PMC10395095_01_fmed-10-1225167-g0001.jpg
case_images: F1
case_images: Chest x-ray (Figure 1) showed a right apical pneumothorax (with chest tube previously inserted) and extensive diffuse bilateral consolidations with bronchus sign.
case_images: Fluids from WLL.
case_images: fmed-10-1225167-g0002.jpg
case_images: PMC10395095_01_fmed-10-1225167-g0002.jpg
case_images: F2
case_images: During the second procedure, a complete left lung lavage and a partial right lung lavage were performed (Figure 2).
case_images: (A) HRTC scan at admittance; (B) HRTC scan after right lung lavage was performed; (C) HRTC scan after WLL was completed.
case_images: fmed-10-1225167-g0003.jpg
case_images: PMC10395095_01_fmed-10-1225167-g0003.jpg
case_images: F3
case_images: During the first procedure, a total of 5,500 mL, in aliquots of 1,000 mL, of warm (37 C) sterile saline solution (0.9% NaCl) were instilled in the right lung (Figure 3B). Chest HRCT (Figure 3C) performed after the WLL showed a dramatic improvement of the GGO and the appearance of a left pleural effusion, possibly secondary to intraoperative hydro trauma, which rapidly responded to diuretic therapy with furosemide.