Presentation
Fall with right scapular pain.
Patient Data
Age: 60 years
Gender: Male
From the case:
Pneumothorax on shoulder series
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Frontal

Right pneumothorax. Right 5th and 6th rib fractures. No shoulder girdle fracture. No dislocation.
From the case:
Pneumothorax on shoulder series
Frontal

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.