Presentation
Acute difficulty breathing after a relatively short history of cough and temperature.
Patient Data
![](https://prod-images-static.radiopaedia.org/images/861163/0e04ab52d73cbc4e15c1e706d9c2a0_big_gallery.jpg)
Focal opacification in the right upper zone with a region of hyperlucency peripherally. The peripheral zone does not have any bronchovascular markings. Features are of a pneumothorax complicating a chest infection (likely bronchiolitis).
![](https://prod-images-static.radiopaedia.org/images/19377802/25e345edaa5705d96bec454b540d12_big_gallery.jpeg)
Following treatment with an intercostal drain and IV antibiotics, the chest x-ray is normal. No underlying cause.
Case Discussion
This 3 month old infant has a right-sided spontaneous pneumothorax. It was treated with intercostal drain insertion and after 3 months, there was complete resolution.
No features to suggest an underlying cause and no suggestion of NAI.