Image in medicine
Atypical presentation of right pneumothorax secondary to bronchogenic cyst
Presentación atípica de neumotórax derecho secundario a quiste broncogénico
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Pulmonary auscultation revealed generalized hypophonesis in the right hemithorax, with preserved vesicular breath sounds in the left hemithorax. A chest X-ray was performed which confirmed the diagnosis of right pneumothorax with mediastinal displacement and a cavitated image in the collapsed lung (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Thoracic drainage was performed, with resolution of the pneumothorax. Subsequent computed tomography (CT) and chest X-ray showed the presence of an 8.7 cm thin-walled cyst with air level located in the right upper lobe, not communicating with bronchial structures, indicative of a bronchogenic cyst (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). Other associated lesions and secondary complications were ruled out.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Bronchogenic cyst is a rare congenital lung malformation that is usually asymptomatic in adults; however, it has been described as an aetiology of secondary pneumothorax. CT is the most specific test for the confirmation diagnosis of pneumothorax and also allows the identification of underlying diseases, such as a bronchogenic cyst. Surgical removal of the cyst is generally recommended to avoid further complications whenever they are diagnosed, regardless of the patient’s age.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have not received any funding for this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1247 "Ancho" => 2508 "Tamanyo" => 420894 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015900000005/v1_202209020725/S2387020622004041/v1_202209020725/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015900000005/v1_202209020725/S2387020622004041/v1_202209020725/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622004041?idApp=UINPBA00004N" ]
