Recurrent Pneumothorax and Adenopathy

Abstract

A 34-year-old nonsmoking African-American woman with a history of childhood asthma presented to her internist with 25 h of right-sided chest pain and shortness of breath. The initial physical examination was remarkable for a respiratory rate of 28; heart rate, 140 bpm; and absent breath sounds on the right. A portable chest radiograph revealed a large right pneumothorax. She was treated with tube thoracostomy with resolution of the pneumothorax.