Fractured clavicle and ribs with pneumothorax
Syncope, fall from standing height. Painful shoulder.
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Superiorly displaced and angulated fracture of the left clavicle midshaft. The acromioclavicular joint is normally aligned. Glenohumeral alignment is normal. Left-sided rib fractures. Left pneumothorax - formal trauma chest CT advised.
Occasionally you may identify an occult PTX in a neck or shoulder X ray following trauma, which necessitates notification of the clinician ASAP and formal trauma imaging of the chest.