Fig. 1

Intraoperative findings; a There were multiple defects in the diaphragmatic dome, and the swing of liver can be clearly seen along with breathing movement, b With breathing, bubbles were overflowing into the pleural cavity through the fenestrations, c Yellowish-brown nodules and fibrinous deposits scattering in the pleural cavity and on the visceral pleura. d Tight attachments of the upper right lung that cannot be washed away