CXR Case 104
27 year old female presents with 1 day of breathlessness that occurred spontaneously.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is a right sided pneumothorax with collapse of the upper and lower lobes. Visualized lung parenchyma looks normal.
CLINICAL CORRELATION
This is a moderate sized primary spontaneous pneumothorax
Most will resolve without intervention although in the context of symptomatic dyspnoea it is reasonable to consider treatment.
CLINICAL PEARLS
Needle (14–16 G) aspiration is as effective as large-bore (>20 F) chest drains and may be associated with reduced hospitalization and length of stay.
TOP 150 CXR SERIES
Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar | ICIS Course ANZ