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Images in Thorax
Ghost of chest drain past
  1. Freddy Frost1,
  2. James Hare2,
  3. John Holemans2,
  4. Martin Walshaw1
  1. 1Respiratory Medicine, Liverpool Heart and Chest Hospital, Liverpool, UK
  2. 2Radiology Department, Liverpool Heart and Chest Hospital, Liverpool, UK
  1. Correspondence to Dr Freddy Frost, Liverpool Heart and Chest Hospital, Liverpool L14 3PE, UK; freddy.frost{at}lhch.nhs.uk

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A 20-year-old woman with recurrent left-sided pneumothoraces underwent video-assisted thoracoscopic pleurectomy and wedge resection of a left apical bulla. Medical history included ABCA3 pulmonary surfactant dysfunction and subsequent interstitial lung disease with diffuse ground glass changes suggestive of a desquamative interstitial pneumonitis (DIP). She was a lifelong non-smoker. Spirometry revealed forced vital capacity 0.97 L, 32% predicted and carbon monoxide transfer factor (TLCO) 27% predicted. The operation was uneventful but there was a persistent postoperative air leak requiring prolonged pleural drainage but no other intervention. …

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