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A 66-year-old man was admitted to the hospital with a two-day history of left-sided pleuritic chest pain and progressive shortness of breath. A right pneumonectomy had been performed 17 years earlier for nonsmall-cell bronchogenic carcinoma. A computed tomographic scan showed anterior herniation of the left lung into the right hemithorax and a small bilateral pneumothorax (arrows). There was also evidence of a left hilar mass and counterclockwise rotation of the heart. The pneumothorax was attributed to the rupture of the herniated bullae. A chest tube was inserted and remained in place for several days; the symptoms resolved.
A single pleural . . . [Full Text of this Article] |