acute onset of dyspnoea, known case of pulmonary tuberculosis.
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Vascular markings are absent in the left lung field suggestive of collapsed left lung. Air-fluid level seen on the left side suggestive of hydropneumothorax. On the right side there is a cavitary lesion with surrounding fibrosis noted in the upper zone. Mediastinum is shifted towards right side.
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Spontaneous pneumothorax is frequent in fibrosis pulmonary tuberculosis, it seldom complicated active tuberculosis in spite of increase of its incidence.