Presentation
Fall with right scapular pain.
Patient Data
Age: 60 years
Gender: Male
From the case:
Pneumothorax on shoulder series
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Right pneumothorax. Right 5th and 6th rib fractures. No shoulder girdle fracture. No dislocation.
From the case:
Pneumothorax on shoulder series
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Right hydropneumothorax, presumably hemopneumothorax given right fifth and sixth rib fractures. No evidence of tension.
Case Discussion
The teaching point is to always look at the lungs on shoulder x-rays as shoulder pain is non-specific and can come from many sources.
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