(Chest 1992; 102:575-76) A 40-year-old woman was referred for evaluation of fever, cough, and chest pain. The patient had been entirely well until four months prior to presen tation, when she developed fevers, left-sided chest pain, and a cough productive of minimal amounts of rust-colored sputum . The sputum production cleared after two days, but the fever persisted. A chest roentgenogram demo...

The patient was a man aged 38 yrs. While at work early in the day, his illness started suddenly with severe cough, which was initially non-productive and which lasted for several hours. He felt breathless but had no wheeze. He bad a small quantity of frank haemoptysis. By evening he had a hectic fever, that was initially associated with chills. He was treated by a general practitioner with pare...

epigastric pain that did not radiate. He had 6 episodes of emesis followed by retching. The character of the pain was different from past anginal symptoms. At his local emergency department, a chest roentgenogram revealed air presumably within a large intrathoracic hiatal hernia (Figure 1). Com-puted tomography was notable for the stomach being almost entirely intrathoracic and distended with a...

A 21-year-old adult with previously diagnosed Marfan syndrome (MS) was admitted to our hospital complaining of chest pains that resulted from a complete left spontaneous pneumothorax (SP). A chest roentgenogram showed a 70% pneumothorax on the left side. Because for 8 days chest tube drainage did not ameliorate the air leak, and also because a computed tomography (CT) scan showed many cystic op...

Some features found on chest computed tomography (CT), such as central tumor location, large pleural effusion, and the absence of a pleural tail, and a patient age of less than 60 years, have been suggested to be useful in predicting anaplastic lymphoma kinase (ALK) rearrangement in patients with non-small cell lung cancer (NSCLC).A 68-year-old female patient with a history of gynecological tre...

We present a case of 100% pneumothorax in a 41-yr-old man with a history of gastritis and gastroesophageal reflux scheduled for Nissen fundoplication. The patient was anaesthetized, and insufflation of the abdominal cavity with carbon dioxide was performed uneventfully. There was an increase in the peak inspiratory pressure and wheezing was noted with a decrease in the arterial oxygen saturatio...

A 60-year-old man was referred for cardiac catheterization because of increasingly frequent episodes of chest pain occurring mainly at rest but also with exertion. He had a history of mild systemic hypertension and esophagitis due to gastroesophageal reflux. A treadmill test performed shortly after the onset of his symptoms 3 years earlier was negative at a pressure rate product of 264 X IO2 mm...

murmur was present. The breath sounds were poor and bowel sounds were audible in the left chest. The abdomen was scaphoid and the liver was not palpable. There was hypoplasia of the left arm and hand with a contracture of the left axilla. Chest roentgenogram revealed the presence of the liver and bowel loops in the left chest. The baby was intubated and placed on a respirator in 100 percent 02....