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Anterior Pneumothorax

Dainer HMD - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Anterior Pneumothorax

History: 19 y.o. man with chest pain following an MVA

Findings: • Initial Chest X-ray -On initial evaluation, no evident pneumothorax (PTX) nor displaced fracture -On close examination, subtle increased visualization of the right heart border with associated relative regional lucency • Trauma Scan - CT -Anterior pneumothorax comprising approximately 25% of right thorax -Patchy foci of lung density representing lung contusion -Representative non-displaced rib fracture • Initial Upright CXR -PTX is now in the typical location laterally and superiorly • Second Upright CXR -Following minimal change after 24 hours, thoracostomy tube inserted

Ddx: • Normal • Pneumothorax • Skin fold (not confirmed by CT)

Dxhow: Diagnostic Imaging

Exam: Diffuse tenderness to palpation (TTP) Normal Breath Sounds bilaterally Clinically Stable

No MeSH data available.


Second Upright CXR in expiration - which will accentuate the pneumothorax (arrows).
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MPX1173_synpic50715: Second Upright CXR in expiration - which will accentuate the pneumothorax (arrows).


Anterior Pneumothorax

Dainer HMD - MedPix (2009)

Second Upright CXR in expiration - which will accentuate the pneumothorax (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1173&req=5

MPX1173_synpic50715: Second Upright CXR in expiration - which will accentuate the pneumothorax (arrows).

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Anterior Pneumothorax

History: 19 y.o. man with chest pain following an MVA

Findings: • Initial Chest X-ray -On initial evaluation, no evident pneumothorax (PTX) nor displaced fracture -On close examination, subtle increased visualization of the right heart border with associated relative regional lucency • Trauma Scan - CT -Anterior pneumothorax comprising approximately 25% of right thorax -Patchy foci of lung density representing lung contusion -Representative non-displaced rib fracture • Initial Upright CXR -PTX is now in the typical location laterally and superiorly • Second Upright CXR -Following minimal change after 24 hours, thoracostomy tube inserted

Ddx: • Normal • Pneumothorax • Skin fold (not confirmed by CT)

Dxhow: Diagnostic Imaging

Exam: Diffuse tenderness to palpation (TTP) Normal Breath Sounds bilaterally Clinically Stable

No MeSH data available.