Een man die de longen uit z’n lijf hoest

A 66-year-old man presented to the general practitioner several times with persistent coughing, haematoma formation and swelling fluctuating in size during coughing. An CT scan showed a widened seventh intercostal space based on a rupture of the intercostal muscles with a herniation of part of the left lower lobe.

Conflict of interest and financial support: none declared.