This 29 year old Omani man was working as a bus driver.
He presented with chronic cough, hemoptysis and copious expectoration for more than 10 years.
Radiological and clinical exam revealed massive cystic bronchiectasis of the
Chest x-ray: P-A view
There was extensive fibrosis with multiple fluid levels.
CT scan chest:
Image1, Image2, Image3, Image4, Image5, Image6
Left pneumonectomy was performed and postoperative course was
P-A view 2 weeks after surgery
P-A view 3 months after surgery
Post Pneumonectomy changes:
The empty space is filled with:
1- Shifting of mediastinum to the same side.
2- Elevation of the diaphragm
3- Crowdness of the ribs, and narrowing of the intercostals spaces
4- The remaining space will be filled by fluid which is eventually transformed into fibrous tissue.
N:B nearly after 3 month the field will be homogenously opaque. P-A view 3 months after surgery
Differential diagnosis of unilateral opaque lung field
1- Massive pleural effusion
2- Lung fibrosis
3- clinical pneumonectomy
4- Lung collapse