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A 50-year-old construction worker presented to our Emergency Department with a 24 h onset of respiratory distress. His medical history was most significant for a 15 pack-year tobacco smoking history and social marijuana use. The patient was only able to speak in short sentences and confirmed a 24 h history of productive cough, fevers and malaise. Examination showed saturations of 92% on a 15 L non-rebreathing Hudson mask. The trachea was midline and neck veins non-distended. He had hyper-resonance to percussion and corresponding decreased air entry over his entire right lung field and also the upper half of his left lung field.
Chest radiograph …
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