Pneumothorax

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Motor vehicle accident. Under the influence of alcohol. Polytrauma.

Patient Data

Age: 60 years
Gender: Male
x-ray

Chest radiograph revealed a right pneumothorax, marked by the visible right pleural edge, the absence of lung vessels peripheral to the pleural edge, and the increased peripheral space radiolucency when compared to the left lung.

The mediastinum is not shifted, indicating this is a simple pneumothorax, with right lung volume loss due to passive atelecatsis.

There is subcutaneous emphysema on the right chest wall.

Annotated image

Pleural edge annotated by a red dotted line.

Case Discussion

Common radiographic appearance of a simple pneumothorax.

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