40 year old male presents to emergency in severe respiratory distress and is intubated on arrival.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is complete white out of the left lung caused by pneumonia (air bronchograms mid zone).
* There is partial volume loss with collapse because the right heart border and trachea have shifted to the left. *
There is a large bore chest drain in situ on the left.
*ETT (probably a bit too proximal) and NG tube also present*
Severe pneumonia can rarely cause secondary pneumothorax.
Most pneumothoraces do not require a large bore drain, 12-14F may well be adequate.