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.
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.
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.