患者女,24岁。因左脚痛、脚闷15年,呼吸困难3个月入院。15年前某医院胸部透视诊断为“左侧脓胸”而行胸腔穿刺治疗。3个月前又于某医院经摄胸部x线片诊断为“左侧结核性脓胸”而接受抗结核治疗。查体:慢性营养不良病容,血压12/8kPa,脉率84次/分,无奇脉,呼吸22次/分,无杵状指(趾),无颈静脉怒张。气管右移,左胸隆起,心界右移,心律齐,心率84次/分,心尖搏动不明显,心音低钝,心尖部可闻及Ⅱ一Ⅲ级舒张期杂音。左胸叩诊浊音,语颤减弱,左肺呼吸音消失。胸部正侧位片:左胸一致性密度增高影,高电压片示肋间隙增宽,肋骨无破坏,食管钡餐造影见食管明显向右侧移位,食管左侧壁外有一凸向右侧的弧形钙化带影。CT扫描示左侧脚腔一致 Female patient, 24 years old. Due to pain in the left foot and stuffy feet for 15 years, dyspnea was admitted to the hospital for 3 months. 15 years ago, a hospital was diagnosed as a “left empyema” chest fluoroscopy. 3 months ago in another hospital chest X-ray film was diagnosed as “left side tuberculous empyema” and received anti-tuberculosis treatment. Physical examination: chronic malnutrition, blood pressure 12/8kPa, pulse rate 84 beats/minute, no odd pulse, respiratory rate 22 breaths/minute, no callus (toe), no jugular vein engorgement. The trachea shifts to the right, the left chest rises, the heart moves right, the heart rate is equal, the heart rate is 84 beats per minute, the apex beat is not obvious, the heart sound is low blunt, and the apex can smell II-III diastolic murmurs. The left chest was diagnosed as a dull voice, the speech trembling weakened, and the breath sound of the left lung disappeared. Chest and lateral radiographs: the consistency of the left chest increased in density, high voltage film showed widening of the intercostal space, no damage to the ribs, esophageal barium meal see the esophagus shift to the right, a left side of the left side of the esophagus convex to the right Arc Calcification CT scan shows left foot cavity consistent