Let's stretch our brains and analyze a clinical case.
An 81-year-old man presented with a complaint of a lump in his chest.
History: smoking experience - 60 years. 20 years ago, due to mesothelioma, three ribs were removed from the left with resection of a lung segment. Several years after the thoracic surgery, the patient noticed the appearance of a bulge in the area of access to the surgery, accompanied by a chronic cough.
Physical examination: a lump of soft, elastic consistency, easily reducible. Typical dynamic changes: on inspiration, the defect of the chest wall recedes, on exhalation it outlines outwards. Auscultation reveals vesical breathing over the bulge area.
Check yourself and choose the right option ⤵.
"Doctors of the Russian Federation" in MAX I VK.