Pneumothorax on shoulder series

Case contributed by Dr Henry Knipe

Presentation

Fall with right scapular pain.

Patient Data

Age: 60 years
Gender: Male
X-ray

Right pneumothorax. Right 5th and 6th rib fractures. No shoulder girdle fracture. No dislocation. 

X-ray

Right hydropneumothorax, presumably hemopneumothorax given right fifth and sixth rib fractures. No evidence of tension. 

Case Discussion

The teaching point is to always look at the lungs on shoulder x-rays as shoulder pain is non-specific and can come from many sources.

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