The Chest X-Ray Database
The Chest X-Ray Database
This is a patient who received a unilateral lung transplant for idiopathic pulmonary fibrosis. Fibrosis is evident in the right lung with resultant bronchiectasis and volume loss. While pulmonary fibrosis can be identified on radiographs, classification of the pattern of fibrosis requires CT. The transplanted left lung is clear.
This case demonstrates both a right pneumothorax and pneumopericardium. In this case, the cause was iatrogenic during a bronchoscopy. A right chest tube is in place, though a small apical pneumothorax is still visible.
Clamshell sternotomy closure hardware is also seen, indicating that this is a lung transplant patient.