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Cardiothoracic Case 29

1250 views4.5y 3/1/2024

28-year-old female, non-smoker, presents with flushing for several weeks and recent fever.

  • 1Plain film reveals right hydropneumothorax with inferior consolidation containing pneumatoceles.
  • 2CT defines a smooth, spherical, enhancing endobronchial lesion firmly lodged in the right bronchus intermedius.
  • 3Distal right middle lobe and lower lobe atelectasis and dense consolidation (post-obstructive pneumonitis).
  • 4Suppurative abscess formation rupturing into the pleural cavity, confirming the secondary empyema/hydropneumothorax.