Presentation
Hospitalized patient. Sudden onset of chest pain and shortness of breath.
Patient Data
Interval development of right apical pneumothorax measuring up to 2.4 cm from the apex. No mediastinal shift.
Bilateral interstitial opacities with bibasilar subsegmental atelectasis. Stable mild blunting of the left costophrenic angle. The right costophrenic angle is sharp. No left pneumothorax.
Case Discussion
This represents a case of pneumothorax. The patient has a complicated medical history, which includes coronary artery disease (status post coronary bypass 20 years ago), atrial fibrillation, and mitral regurgitation (repaired 20 years ago). She presented to the emergency department in cardiac arrest. Following a complicated hospital course, 28 days later, she developed a pneumothorax in the intensive care unit. A chest tube was placed, and a subsequent chest x-ray showed improvement.
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