IMAGES IN EMERGENCY MEDICINE
Localised pneumothorax
1 Consultant in Accident and Emergency Medicine, Royal Gwent Hospital, Newport, UK
2 Senior House Officer, Newport, UK
Correspondence to:
Correspondence to:
Matthew Morgan
Accident and Emergency, Royal Gwent Hospital, Cardiff; mattmorgan@doctors.org.uk
Accepted 7 March 2006
Keywords: pneumothorax
| The first 100% of the full text of this article appears below. |
An 83-year-old man with known chronic obstructive airways disease presented to the accident and emergency department with increased shortness of breath. A portable AP chest radiograph showed a large localised pneumothorax of the right lower and mid-zones with areas of associated collapse. A chest drain was inserted and the patient subsequently improved. Localised pneumothoracies are rare and can often be missed on standard anterior posterior or posterior anterior radiographs if located posteriorly. Obstructive legions of the bronchi should be considered as a potential cause.
[in a new window] Figure 1 Chest radiograph on admission.
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[in a new window] Figure 2 Chest radiograph post-pleural drainage.
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Competing interests: none declared
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