A cavitary lung lesion

Document Type



Cardiothoracic Surgery


52-year-old male smoker presented with a1-week history of fever, left-sided pleuritic chest pain, and body aches. Four days later, cough with hemoptysis developed. He visited the local hospital and was suspected to have left-sided parapneumonicpleural effusion. Repeated attempts at needle aspiration yielded a small amount of pleural fluid, which was exudative with a total leukocyte count of 23,300/L and 98% polymorphs. The procedure resulted in worsening chest pain and dyspnea. The patient was transferred to our hospital, and chest radiography demonstrated a large left-sided pneumothorax. An inter costal chest tube was inserted and relieved the pneumothorax. A chest radiography was obtained after placement of the chest tube (Fig 1)