Worsening respiratory distress.
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Portable chest x-ray of an intubated patient with a large left-sided pneumothorax. The left lung is collapsed with a contralateral shift of the mediastinum and depressed ipsilateral hemidiaphragm consistent with a tension pneumothorax.
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Tension pneumothorax is a medical emergency and requires immediate relieving of tension by inserting a cannula or a needle typically in 2nd intercostal space.