Presentation
University student with shortness of breath and mild left sided pleuritic chest pain. No trauma.
Patient Data
Age: 20 years
Gender: Male
From the case:
Apical pneumothorax
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/50332/annotated_viewer_json?lang=us"}
Thin left apical pneumothorax, with pleural edge evident and no vascular markings peripheral to it.
Right lung clear.
Case Discussion
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 tumor)