Pneumothorax - large with shift
Young male increasing short of breath over past 2 hours. No history of trauma.
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Radiolucent right hemithorax. Enlarged right thoracic cavity.
Collapse of right lung centrally.
Shift of the heart and mediastinum to the left.
Large pneumothorax, with mild mediastinal shift.
This is a medical emergency. A small proportion of pneumothoraces will be large enough to result in mediastinal shift ( i.e under tension ).