Quiz — what’s the diagnosis?
Look at the images, read the history and pick the most likely diagnosis. Your score is kept on this device.
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X-ray
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Frontal chest radiograph. Look carefully at the periphery of the left hemithorax.
Image: Clinical Cases, CC BY-SA 2.5 — source
Case 1002
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Presentation
Sudden left-sided pleuritic chest pain and breathlessness.
- A thin visceral pleural line runs down the left hemithorax, with no lung markings lateral to it
- The left lung is partially collapsed towards the hilum; the peripheral left hemithorax is hyperlucent
- No convincing mediastinal shift on this film
- Patchy opacity in the right lung; ECG electrodes overlie the chest