Fig 1- X rays of the Chest taken in AP view in supine position
before and after placement of right sided intercostal drainage tube
(ICD).
Both X rays show multiple thin walled, rounded, air filled cystic
lesions in both lungs (yellow arrows), s/o Pneumatoceles. A well defined
soft tissue density lesion is seen projecting into the cavity in right
lower lung from its medial wall (red arrows).
In Fig 1A (Pre ICD insertion)- Surrounding the pneumatoceles is an area
of relative lucency, which appears to be completely devoid of lung
markings (black arrow). Opacity is seen along the right lateral chest
wall and in the region of right costo-phrenic angle (white arrow). These
findings are s/o presence of both fluid and air in the pleural cavity in
the Chest X ray of the patient taken in the supine position.
Fig 1B (Post ICD insertion)- There is marked reduction in the amount of
air in right pleural cavity, while no change is appreciated in the
appearance of pneumatoceles or the intracavitary soft tissue mass.