Tension pneumothorax (serial imaging)

Case contributed by Dr Ian Bickle

Presentation

Acute shortness of breath. No trauma.

Patient Data

Age: 30 years
Gender: Male

Large right sided pneumothorax with mediastinal shift.

Left lung clear.

Normal thoracic cage.

Right pleural drain in situ.

Large right pneumothorax.  The mediastinal shift has resolved with the trachea in the midline. 

Heart size normal.  Left lung clear.

X-ray

Two days later

Right pleural drain in situ.

The right pneumothorax has resolved.

Heart size normal.  Left lung clear.

Case Discussion

Imaging from the initial presentation with a tension pneumothorax to drain insertion then resolution.

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Case information

rID: 77654
Published: 20th May 2020
Last edited: 20th May 2020
System: Chest
Inclusion in quiz mode: Included

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