Unusual cause of dyspnea after pneumonectomy.

摘要: The patient was readmitted to the hospital 2 weeks after surgery because of increasing shortness breath. He had not experienced paroxysmal nocturnal dyspnea, orthopnea, angina, or symptoms acute cardiac decompensation. patient’s oxygen saturation 90% while breathing room air, his pulse regular at 80 beats/min, and blood pressure 130/70 mmHg. There were no signs heart failure. trachea central suprasternal notch on palpation. Chest examination revealed dullness percussion auscultation left side good aeration right side. An electrocardiogram changes in a bundlebranch block that seen preoperatively. Levels enzymes (troponin-I creatine kinase-MB) normal. Computed tomography computed angiography chest showed evidence pulmonary embolism infection. Positive findings included small rightsided pleural effusion, mild emphysematous lung, near-complete filling with fluid space within hemithorax. A portable radiograph also obtained, image is shown Fig 1. What diagnosis?