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Images in Thorax
The pneumonectomy syndrome
  1. L M Hannan1,2,3,
  2. S A Joosten1,2,
  3. D P Steinfort1,2,
  4. P Antippa2,
  5. L B Irving1,2
  1. 1Respiratory and Sleep Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia
  2. 2Lung Tumour Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia
  3. 3Institute for Breathing and Sleep, Austin Hospital, Melbourne, Victoria
  1. Correspondence to Dr L M Hannan, Respiratory and Sleep Medicine, Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne, Victoria 3050, Australia; liamhannan1{at}

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A 47-year-old woman presented with exertional dyspnoea, cough, nausea and weight loss 2 years after a right pneumonectomy for non-small cell lung cancer. CT demonstrated marked mediastinal shift and herniation of the left lung into the pneumonectomy cavity (figure 1A). The left lower lobe bronchus was compressed between the aorta and left pulmonary artery and the oesophagus traversed a tortuous path through the right hemithorax (figure 1B). Respiratory function testing …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.