What is the most likely diagnosis?
- 85 year-old male with shortness of breath
Frontal Chest Radiograph
- Large left pleural effusion
- Atelectasis of left lung
- Left pneumonectomy
- Tension pneumothorax on right
- Thoracoplasty for TB
Additional Images-None
Additional Images
None
Answer:
5. Thoracoplasty for TB
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Thoracoplasty for TB
General Considerations
· Defined as a “remodeling or reshaping of the thorax; especially, the operation of removing the ribs, so as to obliterate the pleural cavity in cases of empyema”
· Thoracoplasty was used from the early 1900’s through the late 1950’s as one of the more permanent forms of collapse therapy for TB
o Frequently used as a last resort in gravely ill patients
· Collapse therapy was based, at least in part, on the observation that healed tuberculous cavities were closed and not open
o The therapies were directed towards closing the cavities