Case presentation An 80-year-old man with a chest radiograph is electively admitted for a pacemaker box change. The patient was previously treated at another institution; however, no radiographs are available for comparison. The patient is medically well and does not give a history of recent trauma. His medical history includes syncope related to heart block, and he recalls a series of operations in his 20s to treat tuberculosis. Examination On examination, the patient is comfortable at rest with normal observations.
Inspection reveals a right chest wall deformity and signs consistent with previous surgery. There is reduced lung expansion on the right, with reduced air entry at the apex and an area dull to percussion compared to the contralateral side. A chest radiography is performed as part of the admission process. What does the chest radiograph reveal? (The answer is posted in the…
