Search tips
Search criteria 


Logo of emermedjEmergency Medical JournalCurrent TOCInstructions to authors
Emerg Med J. Oct 2006; 23(10): 818.
PMCID: PMC2579615
Localised pneumothorax
A Vaghela and M P G Morgan
A Vaghela, Consultant in Accident and Emergency Medicine, Royal Gwent Hospital, Newport, UK
M P G Morgan, Senior House Officer, Newport, UK
Correspondence to: Matthew Morgan
Accident and Emergency, Royal Gwent Hospital, Cardiff;
Accepted March 7, 2006.
Keywords: pneumothorax
An 83‐year‐old man with known chronic obstructive airways disease presented to the accident and emergency department with increased shortness of breath. A portable AP chest radiograph showed a large localised pneumothorax of the right lower and mid‐zones with areas of associated collapse. A chest drain was inserted and the patient subsequently improved. Localised pneumothoracies are rare and can often be missed on standard anterior posterior or posterior anterior radiographs if located posteriorly. Obstructive legions of the bronchi should be considered as a potential cause.
figure em36061.f1
Figure 1 Chest radiograph on admission.
figure em36061.f2
Figure 2 Chest radiograph post‐pleural drainage.
Competing interests: none declared
Articles from Emergency Medicine Journal : EMJ are provided here courtesy of
BMJ Group