Presentation
CXR obtained routinely after permanent pacemaker insertion.
Patient Data
Age: 80 years
Gender: Female
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Dual-lead PPM in situ. Absence of lung markings in the left apex suggest the presence of a pneumothorax although a lung edge cannot actually be demonstrated.
From the case:
Pneumothorax post permanent pacemaker insertion
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Inspiratory and expiratory films have been obtained. Left apical pneumothorax is confirmed best seen on the expiratory view. The apex of the partially collapsed lung reaches the sixth posterior rib.
Case Discussion
Pneumothorax is an uncommon complication of permanent pacemaker insertion. This patient's pneumothorax resolved spontaneously.