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Radiology Respiratory Radiology 2466a448

Which of the following is most appropriate step of management in a patient who comes to emergency dept with breathlessness and X-ray showing following findings?

A
Order for HRCT Scan
B
Thoracocentesis
C
Plan for the inseion of chest tube
D
Wait and watch
High-Yield Explanation
Note:- the unilateral left sided hyperlucency devoid of any lung markings suggesting left pneumothorax. Ina small simple pneumothorax, observation alone may be sufficient, while in a more major pneumothorax a chest drain is more effective and safer, paicularly if the patient is symptomatic or has underlying lung disease. In the present case, Plain inseion of intercostal drain/chest tube (X-ray shows left sided pneumothorax).This X-ray shows left sided pneumothorax . There is relative flattening of the left dome and some mediastinal shift to right. Patient has breathlessness and these all features suggest treatment with inseion of intercostal drain.

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