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.