Case 55 Previous Right Thoracoplasty

Prior to the advent of effective anti-tuberculous drugs, surgery was the only treatment available for patients with tuberculosis. The objective was to cause closure of the upper lobe cavities and one option was thoracoplasty which involves resection of the upper ribs, resulting in lung collapse. In this CXR, the right upper chest is deformed and the pleural space is calcified. Other procedures performed include artificial pneumothorax, phrenic nerve crush, or plombage.

Upper Lobe Diversion

Case 56. This middle-aged male was asymptomatic. His CXR (Fig. 56.1) remained unchanged for many years.

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