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Latissimus dorsi muscle flap dehiscence and retraction

Imaging findings

CT shows a retracted, balled-up soft-tissue mass in the chest wall, representing a dehisced latissimus dorsi flap that was used to close a chronic bronchopleural fistula.

Key takeaways

Muscle flaps used to close BPFs can undergo dehiscence and recoil into the chest wall, presenting as a soft-tissue mass and leading to recurrence of the bronchopleural fistula.

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