Presentation
Sudden onset, shortness of breath in the absence of trauma.
Patient Data
Age: 35 years
Gender: Male
From the case:
Spontaneous pneumothorax
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Large right pneumothorax with collapse of the right lung. Left lung is clear. Tracheal deviation can be seen on the expiratory film.
From the case:
Spontaneous pneumothorax
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Chest drain inserted with good re-expansion of the right lung.
Case Discussion
This patient, a tall, skinny male with a background of Marfan syndrome and an active smoker, has multiple risk factors for spontaneous pneumothorax.
The expiratory film can be useful in detecting small pneumothorax. In this case of a large pneumothorax, it can reveal tracheal deviation not apparent on the inspiratory film.
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