Case 2

Clinical Stem:

​

Patient: 35-year-old male presents to ED:​

• 1 day history of:

  • Fatigue

  • Dyspnea, but no cough

  • 97% O2 at rest

  • Diminished AE to L bases

  • Rest of history is healthy

PA View

Case courtesy of Rohit Sharma – Radiopaedia.org. From the case rID: 4578

Case 2 Diagnosis

Left Spontaneous Pneumothorax

• Total collapse of L lung

• Increased hypodensity in L lung compared to R with no lung markings.

• Mediastinal shift to R side

Recommendations

• If pneumothorax not clear, lateral decubitus CXR / expiratory CXR should be done

• Repeat imaging to confirm resolution.