Question 240 · LEK · Pneumothorax

A 40-year-old patient came by the ER because of a strong chest pain on the left side, aggravating on inspiration, accompanied by dyspnea. On physical examination: tachypnoe, no respiratory sounds and hyperresonance on percussion in the left supraspinous region. The chest X-ray revealed a lack of bronchovascular markings in the upper area of the left lung. The above clinical data suggest the diagnosis of:

  1. A. atelectasis.
  2. B. lobar pneumonia.
  3. C. bronchopneumonia.
  4. D. pneumothorax.
  5. E. pleural effusion.
Hint

Hyperresonance with absent breath sounds and an area without lung markings on X-ray point to air where it should not be.

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