Abstract
A 40-year-old male presented with gradual progressive shortness of breath, mild cough without expectoration and right-sided chest discomfort of 6 months’ duration. The pain was diffuse, located anteriorly and posteriorly, and did not increase on deep inspiration or coughing. Patient history did not reveal orthopnoea, palpitations, expectoration, fever, anorexia or weight loss. The patient also had no history of pulmonary tuberculosis or rheumatic heart disease. The patient was of average build and afebrile. There was no pallor, icterus, cyanosis, clubbing, lymphadenopathy, oedema of feet or raised jugular venous pulse. There was marked reduced movement of the right hemithorax, right chest deformity, and the trachea and heart were shifted to the right. The entire right hemithorax, except the infraclavicular area, were dull on percussion. Breath sounds were absent on the right side (Figures 125). Could the diagnosis have been made with plain radiography alone?
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
