An 79-year-old man underwent right upper lobectomy and dissection of mediastinal lymph nodes due to non-small cell lung cancer 8 months ago. After the uneventful operation, he refused adjuvant therapy. Although he has been doing well, 2 months ago he developed facial puffiness. This picture is the chest film on the day he came to the hospital.
What does it tell you?
Does it explain the cause of puffy face?
Do you need more investigation? Your plan?
Is it an emergency condition? If yes, what is the provisional treatment?
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