Pneumothorax

Case contributed by Andrew Kirby
Diagnosis certain

Presentation

1 week history of cough and coryza. Sudden onset shortness of breath after a coughing episode. Low oxygen saturations.

Patient Data

Age: 25 years
Gender: Male
x-ray

Subtle left apical pneumothorax with lung edge visible just above left 3rd rib.  The lungs are otherwise clear. 

Case Discussion

The line formed by the lung edge is nearly parallel to the 3rd rib which can make this pneumothorax hard to spot. It is important to include the lung apices as a 'review area' when assessing a CXR.

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