This is the CXR if an elderly gentleman, 83 years, who presented in resus after a collapse. He was found to be SOB and had a CXR: What do you think: does he need a drain? On further inspection and manipulating the x-ray: The clinician looking after the patient was not clinically convinced that there was a pneumothorax, so had a discussion with the radiology team. They decided to repeat the x-ray: The pneumothorax has moved! The outcome was that this was shadowing from a skin fold. A further clue is the shadow extends beyond the lung fields, and there are lung markings visible peripheral to the line which may indicate a pneumothorax. NO PNEUMOTHORAX. N Bothma on behalf of J Smith
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The Derrifoam BlogWelcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy..... Archives
February 2021
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