Pneumothorax mimic - skin fold
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Ian Bickle had no recorded disclosures.View Ian Bickle's current disclosures
Regular admission for an elderly patient with sepsis. Source to be identified.
Linear abnormality nearly parallel to the right chest wall extending from base to apex.
Lung marks are evident peripheral to this line, implying this is not air in the pleural space.
There are a number of potential mimics for a pneumothorax. Perhaps the most common is a skin fold. These typically occur in:
- The elderly with loose skin as a result of aging.
- On an AP film
The appearances can catch the untrained eye - be sure to review the lucency / presence of lung markings peripherally.
29 public playlists include this case
- Chest by Basel Jaber
- CXR 101: A Primer by Aaron Wong
- Teaching Chest Pitfalls by Samuel T Gregson
- PTE - Radiology Chest by Sándor Szukits
- THX Wall/Pleura/Trauma by Cary MacMillan
- CHEST by Jose Ignacio Aragon
- Favourite chest cases by Rohit Sharma ◉
- Chest by Afonso Carvalho Silva
- 27 feb by Tamer Ghorab
- AA by Ankita Ahuja
- FRCR 2B Cases by Sherif Tharwat Gamal El Din
- Artifacts by James Clark ◉
- FRCR 2B 3 by Sherif Mohsen
- Waikato Teaching - Chest Radiography by Matt Adams ◉
- FRCR 2B AMR SAADAWY (part 5) (part 1) by Amr Saadawy
- ICS SOA 2018 #radmasterclass: Chest by Vikas Shah ◉
- av frcr 6 by Avni K P Skandhan ◉
- Chest by Pulathi Senaratna
- Waikato ED Chest by Matt Adams ◉
- Arab board by azi
- Skills-Lab (Chest Trauma) by Gregorius Enrico, Sp.Rad
- 31/09/2021 by elroy
- CXR by Kolbeinn Hans Halldorsson
- ER: Chest: Pleural by Sungchoul Pyun
- Chest 2 by N Seth
- MSK by Nazahat Pasha
- thorax 17.11 RM by Rasanayagam Mehatheepan
- TI - CXR approach by Jin XU
- chest revision by Abhishek Suman