A 78-year-old man has been found collapsed on the street and is brought to the Emergency Department. He is cold and clammy. His ECG shows an acute anterior myocardial infarction. His CXR is shown below:
Question: What is the most likely cause for this patient’s radiological abnormality?
Answer: Left thoracoplasty
The CXR shows left thoracoplasty.
Before streptomycin and then isoniazid became available, apical pulmonary tuberculosis was sometimes treated with thoracoplasty. This involved the removal of several ribs from the chest wall in order to collapse a lung and to close open tuberculous cavities. The average patient required the removal of seven to eight ribs.