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A 10-year-old boy presents to the emergency department complaining of right-sided chest pain after being in...

A 10-year-old boy presents to the emergency department complaining of right-sided chest pain after being in a motor vehicle accident. The boy complains that pain is sharp, and he is very short of breath.. He has tachycardia and tachypnea, and is diaphoretic. His trachea deviates to the left, and he hanse breath sounds over the right lung. A non-rebreather mask is placed on the patient, and a STAT chest radiograph is taken.

Review the quality of the film explain.

Review the chest radiograph explain

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Answer #1

Ans) The image is AP view.

The image has good exposure.

The patient is in flat position. There is no jewelry. Air bubble is noted.

2) Trachea: Marked deviation to the left.

- Carina: Shifted left.

- Aorta: Shifted left

- Right lung is collapsed

- Heart: Shifted to left

- Right hemithorax is black with no vascular markings. Right hemidiaphragm is depressed.

- Left costophrenic angle is visible.

- No facture is noted.

- Specific abnormalities noted: Right side tension pneumothorax and deviated Trachea.

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