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Images in medicine
Dyspnoea in a patient with unilateral lung agenesis
  1. Hinesh Upadhyay,
  2. Jose Contreras,
  3. Zary Hashemi,
  4. Abid Khokar,
  5. Kunal Nangrani,
  6. Farhad Arjomand,
  7. Louis Gerolemou,
  8. Viswanath Vasudevan
  1. Department of Pulmonary and Critical Care Medicine, The Brooklyn Hospital Center, Brooklyn, New York, USA
  1. Correspondence to Dr Hinesh Upadhyay, Department of Pulmonary and Critical Care Medicine, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, USA; drhinesh{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2016-134151

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    A 28-year-old woman presented with sudden onset dyspnoea, left-sided chest pain and dry cough for 3 days. She was a non-smoker. Her blood pressure was 90/60 mm Hg; respiratory rate, 20 breaths/min; finger pulse oximetry, 95% on 10 L/min; supplemental oxygen via non-rebreather mask and heart rate, 100 bpm. On chest auscultation, air entry was absent bilaterally. Initial chest X-ray showed ‘bilateral’ pneumothoraces, left more than right (figure 1). Tube thoracotomy was performed on the left pleural space, with complete resolution of left pneumothorax and partial resolution of right pneumothorax. Contrast-enhanced CT of chest revealed anterior …

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    Footnotes

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval Institutional review board.

    • Provenance and peer review Not commissioned; internally peer reviewed.