case_images: PMC4729429_01
case_images: Portable anteroposterior radiograph of the chest reveals complete atelectasis of the right lung (white arrow), adjacent right-sided pleural effusion (arrowhead) and leftward mediastinal shift (black arrow) consistent with tension hydrothorax.
case_images: wjem-17-88-g001.jpg
case_images: PMC4729429_01_wjem-17-88-g001.jpg
case_images: f1-wjem-17-88
case_images: A portable chest radiograph (CXR) revealed complete atelectasis of the right lung with adjacent large right pleural effusion, causing mediastinal shift to the left, consistent with tension hydrothorax (Figure 1).
case_images: Axial (A) and coronal (B) computed tomography angiogram images of the chest showing a large right pleural effusion (arrows) and near-complete atelectasis of the right lung (arrow heads) with leftward mediastinal shift.
case_images: wjem-17-88-g002.jpg
case_images: PMC4729429_01_wjem-17-88-g002.jpg
case_images: f2-wjem-17-88
case_images: A computed tomography (CT) angiogram of the chest confirmed the above findings; there was no evidence of pulmonary embolism or aortic dissection (Figure 2).