Dr. Pepe’s Diploma Casebook: Case 40 – SOLVED!


Dear Friends,

Showing you the last case before Summer vacation (July and August). Presenting radiographs of a 47-year-old man with moderate dyspnea.


1. Collapse of right lung
2. Right pneumonectomy
3. Congenital absence of right lung
4. None of the above

47-year-old man, PA chest

47-year-old man, PA chest

47-year-old man, lateral chest

47-year-old man, lateral chest

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    Jun 2013
    DISCUSSION 23 Comments

    23 Responses to : Dr. Pepe’s Diploma Casebook: Case 40 – SOLVED!

    1. Francsico says:

      Left lung herniation. Signs of decreased volume in the right hemithorax.
      Dx – collapsed right lung.

    2. Shahid says:

      Rt. Lung Collapse

    3. Colapso pulmonar derecho

    4. doc zaib says:


    5. izabela says:

      Congenital absence of right lung- opacity of the right hemithorax and displacement of the heart and mediastinum to the right. Also we find the tracheal displacement to the right and a congenital anomaly of the right principal bronchi.

    6. Fahad says:

      Right pneumnectomy

    7. genchi bari italia says:

      Atelettasia polmone dx , da adenoma bronchiale( sino a prova contraria)

    8. Mark says:

      The PA view shows complete opacification of the right hemithorax with shifting of the trachea, mediastinum and cardiac silhouette to the right. Lateral view shows a widened retrosternal space corresponding to displacement of the heart. The right main stem bronchus appears to be both lobulated and truncated possibly representing a rudimentary bronchus. Therefore, this seems to be a case of aplasia of the right lung rather than complete agenesis.

    9. hosny says:

      rt pneumonectomy

    10. Tarun Kakkar says:

      Right Lung collapse

    11. Katerina says:

      1. Collapse of the right lung (maybe post-surgical because I see surgical clips in the right upper quadrant)

    12. ALI SAMMRA says:

      Rt.lung collapse

    13. gus says:

      Trachea is push out back on the right.
      I cant see the right hilum on profile view.
      The ribs looks intact on the right.
      Moderate dyspnea in right pulmonary collapse?
      I think is chronic situation.

    14. Dr Nour says:

      Collapse of Rt lung

    15. dr khaula izzat says:

      right lung collapse

    16. Ricardo Macareno says:

      Collapse of right lung

    17. Dr. Pepe says:

      I am surprised nobody has mentioned the surgical clips in the lateral view!

    18. gus says:

      But the clips professor is sub diaphragmatic .
      Patient had operate for diaphragmatic rupture or tumor?

    19. M. Sayadi says:

      Right pneumonectomy.

    20. genchi bari italia says:

      .. la DD con un emitorace “opaco”, comprende anche l’agenesia polmonare.Il paziente è stato operato in passato all’addome e sarebbe interessante sapere il precedente rx-torace pre-operatorio;.se anche in quella circostanza si evidenziava lo stesso quadro, allora è lecito pensare ad una agenesia polmonare di IItipo sec.Schneider: presenza di un bronco dx “rudimentale” con sacca area distale(come nel caso in oggetto)