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Case of the Week 511



What is the most likely diagnosis?

  • 23 year-old male with stabbing pain after being stabbed



Frontal Chest Radiograph

  1. Pulmonary Contusion
  2. Tension Pneumothorax
  3. Laceration of the Lung
  4. Eosinophilic Granuloma
  5. Simple Pneumothorax

Additional Images-None

 

Additional Images

 

 

None


Answer:

 

2. Tension Pneumothorax

 

More (Click Discussion Tab)

 

 

Tension Pneumothorax

General Considerations

  • Presence of air in the pleural space
    • Anatomy
      • Visceral pleura is adherent to lung surface
      • There is no air in the pleural space normally
      • The introduction of air into the pleural space separates the visceral from the parietal pleura
        • In contradistinction, the visceral and parietal pleura usually do not separate from each other in obstructive atelectasis

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.