Radiograph Case 16

[Jon Adler, MD]

Title: eMedicine

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Cough With a Large Amount of Brown Sputum

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BACKGROUND A 76-year-old woman underwent left pneumonectomy for the treatment of a squamous cell carcinoma. A routine chest radiograph was obtained 6 months after the operation (see Image A). Two weeks later, the patient presents with a cough, a fever, and the production of large amount of brown sputum; another chest radiograph is obtained (see Image B). What is the abnormality shown on the most recent chest radiograph? Hint This complication may occur in as many as 3% of patients undergoing pneumonectomy. Author: Sat Sharma, MD University of Manitoba eMedicine Editor: Bruce Maycher, MD University of Manitoba
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