Thursday, October 22, 2009

Chronic pneumothorax


21 year old male who presented with 3 months history of dyspnoea on exertion. He gave a history of previous 2 episodes of spontaneous pneumothorax that resolved after chest tube insertion.
Chest x-ray showed a small pneumothorax in the left upper chest. The lung margin is thick and lobulated indicating chronic status. The underlying lung is normal. No signs to suggest bullae or mediastinal shift.
Chronic pneumothorax is a rare complication of spontaneous pneumothorax. It may be due to thick pleurovisceral membrane and the patient may benefit from decortication.

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