Presentation
ICU admission with a large intracranial hemorrhage. Lines and tubes check.
Patient Data
Age: 40
Gender: Female
From the case:
Supine tension pneumothorax
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Large right pneumothorax with mediastinal shift to the left indicating significant tension. ETT is in a satisfactory position.
From the case:
Supine tension pneumothorax
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Right pleural drain, with resolution of the pneumothorax and midline shift. Right subclavian CVC has been removed.
Case Discussion
Subclavian CVCs can be complicated by pneumothoraces. On supine projections, the size and severity of pneumothoraces can easily be underestimated as most of the air lies anteriorly in the pleural space, and this is not well seen.
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