This is the young woman with the 30% PTx that was hard to see on the screen. I have played a bit with the contrast... The left film is a repeat from admission with the little red arrows pointing to the lung edge. The one on the right is post placement of a Thoravent (small entry hole, small scar on this young patient) with complete re-expansion. Curiously she had a persistent small leak for a few days but eventually sealed it.
Do you always do a HRCT on this patients? How would you follow her from here?
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It wouldn't hurt, but I usually wait until they've had a recurrence before I start searching.
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