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Roentgenogram of the Month |

A Cavitary Lung Lesion*

Syed Fayyaz Hussain, FRCP (Edin); Nawal Salahuddin, MBBS, FCCP; Saulat Hasnain Fatimi, MD
Author and Funding Information

*From the Sections of Pulmonary Medicine (Drs. Hussain and Salahuddin) and Cardiothoracic Surgery (Dr. Fatimi), The Aga Khan University Hospital, Karachi, Pakistan.

Correspondence to: Syed Fayyaz Hussain, FRCP (Edin), Head of Pulmonary Section and Associate Professor, Section of Pulmonary Medicine, The Aga Khan University Hospital, Stadium Rd, PO Box 3500, Karachi 74800, Pakistan; e-mail: fayyaz.hussain@aku.edu



Chest. 2003;123(3):937-940. doi:10.1378/chest.123.3.937
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Extract

A 52-year-old male smoker presented with a 1-week history of fever, left-sided pleuritic chest pain, and body aches. Four days later, cough with hemoptysis developed. He visited the local hospital and was suspected to have left-sided parapneumonic pleural effusion. Repeated attempts at needle aspiration yielded a small amount of pleural fluid, which was exudative with a total leukocyte count of 23,300/μL and 98% polymorphs. The procedure resulted in worsening chest pain and dyspnea. The patient was transferred to our hospital, and chest radiography demonstrated a large left-sided pneumothorax. An intercostal chest tube was inserted and relieved the pneumothorax. A chest radiograph was obtained after placement of the chest tube (Fig 1 ).

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