Patient Data
Age: 25
Gender: Male
From the case:
Tension pneumothorax
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In the frontal chest X-ray, lucent expanded left hemithorax with loss of vascular markings are seen representing pneumothorax. Left lung is collapsed. Note depression of left hemidiaphragm and shift of heart and mediastinum to the right side.
Case Discussion
Tension pneumothorax occurs when accumulation of air in the pleural space causes positive pressure and shift of mediastinal structures. It is a critical diagnosis. As a radiologist, when you confront it, put the pencil aside and run to the patient!
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