Literature suggests that the measurement of pleural effusion on the right side yields more consistent results, and that of left-sided effusion produces more variable results, which may be because of the heart occupying the left
hemithorax (5).
Likewise migration of VP shunt into the
hemithorax is a very rarely encountered event so, a detailed history is of paramount importance in any patient presenting with unusual clinical features who has previously undergone VP shunt procedure.
Chest x-ray showed the accentuation of the peribronchovascular interstitum in 1/3 of the right
hemithorax at three months (Figure 3) and the persistence of a lower left lobe arterial thrombus, with complete medium lobe artery obstruction on CT scan.
During surgery, we found that due to its delayed diagnosis and slow growth, the lesion had gradually filled the right
hemithorax completely and had established vascular connections with the parietal pleura.
The giant type of fibrous pleural tumors are defined as occupying greater than 40% of the
hemithorax and are especially rare, accounting for less than 5% of pleural neoplasms.
(iii) Case number 15 had four awns in the right
hemithorax, three in the middle lobar bronchus and one in the caudal lobar bronchus;
After the procedure, a total amount of 100cc of blood was collected, associated to air exit contained in the left
hemithorax, confirming in this way the diagnosis of traumatic haemopneumothorax.
Cardiac MRI without contrast showed right-sided pericardium but no pericardium present over the left heart, with characteristic displacement of the heart into the left
hemithorax (Figures 7-9).
Using a 12 MHz high-frequency lineal transducer, LOGIQ e Ultrasound (GE Healthcare, Chicago, IL) ([R]), a bilateral, 6-quadrant systematic lung scan was performed, images on the right
hemithorax were consistent with a normally ventilated lung, with pleural sliding at each respiratory movement and the M-mode "seashore" sign (Figs.
A chest CT scan revealed a large necrotic and heterogeneous mass occupying almost all the left
hemithorax (Figure 1).
Clarke, "Chest X-Ray appearance of total opacification of the
hemithorax following central venous line insertion: A cautionary tale," International Journal of Case Reports and Images, vol.
Chest X-ray (CXR) (PA and lateral views) in the emergency department revealed a cavitary lesion with an air-fluid level within the anterior medial right
hemithorax and a loculated hydropneumothorax along the right lateral lung base (Figure 1).
