A 46-Year-Old Woman With an Uncommon Case of Massive Pneumothorax

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A 46-Year-Old Woman With an Uncommon Case of Massive Pneumothorax Marco Chiappetta, MD, Gian Maria Ferretti, MD, Luca Pogliani, MD, Edoardo Zanfrini, MD, Amedeo Iaffaldano, MD, Dania Nachira, MD, Stefano Margaritora, PhD, MD CHEST Volume 155, Issue 2, Pages e25-e28 (February 2019) DOI: 10.1016/j.chest.2018.10.051 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 Chest radiograph showing an (A) left upper pneumothorax, confirmed as a hydropneumothorax with initial mediastinal shift at the (B-D) CT scans. CHEST 2019 155, e25-e28DOI: (10.1016/j.chest.2018.10.051) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 A, Chest ultrasonography showing absence of sliding lung sign (black arrow) and the two alternate lung points (red arrows). B, Intraoperative finding of the giant bullae (red arrows) divided by a fibrous septum (black arrow) determining the ultrasound alternation of two lung points due to the interruption of the contact between the bullae and the chest wall. C, Postoperative chest radiograph showing complete reexpansion of the lung. CHEST 2019 155, e25-e28DOI: (10.1016/j.chest.2018.10.051) Copyright © 2018 American College of Chest Physicians Terms and Conditions