Clinical Images  |   January 2020
Reexpansion Pulmonary Edema
Author Notes
  • From the Emergency Medicine Residency Program at Spectrum Health Lakeland in Saint Joseph, Michigan. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Kristen Whitworth, DO, 2103 Langley Ave, Saint Joseph, MI 49085. Email:
Article Information
Imaging / Pulmonary Disorders / Clinical Images
Clinical Images   |   January 2020
Reexpansion Pulmonary Edema
The Journal of the American Osteopathic Association, January 2020, Vol. 120, 49. doi:
The Journal of the American Osteopathic Association, January 2020, Vol. 120, 49. doi:
A 34-year-old woman with no significant medical history presented to the emergency department with an outpatient anteroposterior chest radiograph demonstrating a large right-sided pneumothorax. She had chest pain and shortness of breath for 9 days after power washing her deck. Reexpansion of the lung failed with thoracostomy and placement of a 10.2 F tube (image A), but was successful after placement of a 28 F tube. Subsequently, the patient became hypoxic, requiring supplemental oxygen via nonrebreather mask. Repeated chest x-ray imaging revealed increased alveolar opacification of the right lung consistent with pulmonary edema (image B). The patient was admitted to the intensive care unit and remained stable with 30 L/minute high-flow nasal cannula for 2 days before the chest tube was removed. 

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