Case 1
Figure 1
Postero-anterior chest x-ray which shows a huge hilar mass in the left lung. The patient was a male heavy smoker.

Case 1
Figure 2
Postoperative chest X- ray, one month after the operation ( Pneumonectomy ). There is an accumulation of fluid and air in the left hemithorax (air-fluid level), which is a normal and expected radiological finding. During a period of three weeks to seven months postoperatively  ( median 3.9 months) the whole cavity is filled with fluid. The mediastinum is shifted to the operation side, the hemi-diaphragm is elevated and the intercostal spaces are decreased. This procedure results in the limitation of the pneumonectomy space which allows the remaining lung to hyper-inflate.

Case 1
Figure 3
Surgical specimen which shows an entire lung with a tumour, located in the upper lobe and extended to the hilum.  The pathology examination confirmed the diagnosis of squamous cell carcinoma, which represents the most frequent histologic type .

Case 2
Figure 1
Postero-anterior chest X-ray. There is a huge mass located in the right upper lobe.

Case 2
Figure 2
Chest CT scan showing a huge lobulated tumour-mass of the right upper lobe. The mass extends to the lung hilum.

Case 2
Figure 3
Surgical specimen. An entire lung with a large tumour in the upper lobe which seems to  invade the hilum.

Case 2
Figure 4
Postoperative chest X–ray after a right pneumonectomy many years after the operation. There is an over expansion of the left lung, while the right hemithorax is filled with fluid which is the expected postoperative image.

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