Tension pneumothorax

Case contributed by Naqibullah Foladi
Diagnosis certain

Presentation

History of chest injury, suffering from severe dyspnea.

Patient Data

Age: 15 years
Gender: Male

Chest

x-ray

Radiolucent hyperexpanded left hemithorax is noted with absence of bronchovascular markings.

Significant widening of intercostal spaces is noted.

Mediastinal shift to the contralateral side (right side) is noted.

Depression of left hemidiaphragm.

Case Discussion

The chest radiograph features are compatible with left-sided tension pneumothorax.

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