Skin fold artifact

Case contributed by Dr Derek Smith

Presentation

Recent falls, decreased air entry at right base ? hemo/pneumothorax

Patient Data

Age: 80 years
Gender: Male
X-ray

Inspiratory and expiratory CXRs.

Skin fold at the right base on the inspiratory study, which initially could be mistaken for a pneumothorax. However the air markings beyond this line and its resolution on the next study show it is not a pneumothorax.

Lungs clear. Healed bilateral rib fractures (left 6th, rigth 9th).

Case Discussion

Skin fold artifact potentially mimicking a pneumothorax.

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