A young, thin gentleman came to ED with acute onset of SOB.

What's the diagnosis?

#quiz-HOmustknow

6 comments

Tengku Shalina
Left tension pneumothorax
Left tension pneumothorax
Left spontaneous pneumothorax?
1. No lung markings on the majority of the left lung with the pleura being visible?
2. No tracheal deviation?
3. The patient is thin, sus🤔

Mx: chest tube?
Ilinm
hyperinflated with prominent air bronchogram and hazziness of right lung no pleural effusion ? consolidation at left middle zone

dx: infective copd ddx: TB/Malignancy?
Spontaneous left pneumothorax possibly with underlying Marfan syndrome
Perhaps not tension yet coz the trachea and the mediastinum are still in the middle and not yet shifted. Need clinical correlation also if wanted to say it tension like hypotension, distended neck or JVP, tracheal deviation. So its just Left spontaneous pneumothorax based on the hx (thin guy- risk factor) and CXR