University student with shortness of breath and mild left sided pleuritic chest pain. No trauma.
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Thin left apical pneumothorax, with pleural edge evident and no vascular markings peripheral to it.
Right lung clear.
The apices of a chest x-ray are on of the key review areas during methodical review of the film. The two key pathologies not to miss being:
- apical pneumothorax
- apical lung cancer (Pancoast tumour)