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Opacified Hemithorax With Ipsilateral Mediastinal Shift After Transthoracic Needle Biopsy*

John M. Barker; Steven A. Sahn
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology, Medical University of South Carolina, Charleston, SC.

Correspondence to: Steven A. Sahn, MD, FCCP, Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology, Medical University of South Carolina, Charleston, SC 29208



Chest. 2003;124(6):2391-2392. doi:10.1378/chest.124.6.2391
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Extract

A 75-year-old woman underwent transthoracic CT-guided cutting-needle biopsy of a 5 × 5-cm mass of the superior segment of the left lower lobe and had an episode of recent hemoptysis. She had been ill for 3 months with dyspnea, cough, and intermittent sputum production. Chest radiographs revealed a persistent left lower lobe alveolar opacification believed to be pneumonia; however, the patient had no improvement with two courses of oral antibiotics. She had severe COPD and was receiving home oxygen at 2 L/min, with baseline dyspnea with minimal exertion.

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