Figure 2a and Figure 2b are HRCT scans showing right-sided
hydropneumothorax with an intermediate walled cavity in the right lower
lobe with BPF and multifocal consolidation with ground glass in
bilateral lung fields with fibro bronchiectatic changes and crazy
pavement patterns.
The patient showed no sign of improvement even after placement of the
chest tube for three days. Therefore, a repeat chest X-ray had to be
performed that revealed minimal re-expansion of the right lung,
indicating persistent pneumothorax. For this, the chest tube’s
functionality was assessed, which showed signs of leakage, and a second
chest tube had to be inserted. Despite implementing all necessary and
aggressive interventions, the patient’s overall condition continued to
deteriorate, necessitating collaboration with the thoracic surgical team
to plan a surgical procedure for repairing the bronchopleural fistula.
Regrettably, despite efforts to stabilize the patient, his condition
deteriorated rapidly, resulting in an unfortunate outcome.