A 24-year-old female has been brought to the emergency department by her friends after she developed breathing difficulties while playing football. She noticed some chest pain after a heavy tackle when she landed on her left side. The pain worsened over a few minutes, with associated increasing shortness of breath. Examination This young woman looks unwell. She is sweaty, visibly short of breath and in pain. The right side of her chest wall is not moving and is hyper-resonant to percussion. On auscultation, there is reduced air entry on the right side.
Tracheal deviation to the left is also noted. Her blood pressure is 110/90 mmHg and pulse 115/min. A chest X-ray has been performed (images attached). What is the diagnosis? What findings does her X-ray reveal? *This case is from Docplexus editorial team for educative purpose only Source: Cases in respiratory medicine
