Tension pneumothorax

Case contributed by Dr Bita Abbasi

Patient Data

Age: 25
Gender: Male
X-ray

In the frontal chest X-ray, lucent expanded left hemithorax with loss of vascular markings are seen representing pneumothorax. Left lung is collapsed. Note depression of left hemidiaphragm and shift of heart and mediastinum to the right side. 

Case Discussion

Tension pneumothorax occurs when accumulation of air in the pleural space causes positive pressure and shift of mediastinal structures. It is a critical diagnosis. As a radiologist, when you confront it, put the pencil aside and run to the patient!

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Case information

rID: 24345
Case created: 8th Aug 2013
Last edited: 10th Feb 2016
System: Chest
Inclusion in quiz mode: Included

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