Bilateral pneumothoraces

Case contributed by Dr Hani Makky Al Salam

Presentation

Chest pain.

Patient Data

Age: 17 years
Gender: Male
x_ray

Bilateral pneumothoraces

On the right side is more obvious to start with. On the left side, however, an apical pleural line is seen, which is progressively more conspicuous on subsequent CXRs (6 hours and 9 hours follow-up).

6 hours later

x_ray

Static right-sided pneumothorax. The left-sided apical pneumothorax has enlarged.

x_ray

Static right-sided pneumothorax (9 hours post-presentation). The left-sided pneumothorax has enlarged further.

Case Discussion

Bilateral pneumothoraces over 9 hours. Right-sided pneumothorax remains relatively stable. The left-sided pneumothorax progressively enlarges.

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