Case 237

Medical History

A 33-year-old female patient, admitted in emergency care with diarrhea complaints, vomiting, mild dyspnea and ventilatory-dependent chest pain upon on the left for 5 days. Treated for gastroenteritis without pain relief. Requested chest radiography, with the findings highlighted in Image 1. Subsequently, computed tomography (CT) and magnetic resonance imaging (MRI) of the chest shown in Images 2, 3 and 4.

According to the clinical context as well as the complementary investigation findings, which is the most likely diagnosis?

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