Acute pain on the right side of his back

A 25-year-old male patient applied to E.R. with the complaint of acute pain on the right side of his back, which started an hour ago. The patient, whose appearance is weak and tall, is also an active smoker. Vital Signs; B.P: 120/90, H.R: 120, sPO2: 95 Along with the chest radiography in the first application, the radiography of the tube after thoracostomy is also given above. Suggestions?

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1st Cxray shows massive pneumothorax on rt side. Rt lung collapse and slight mediastinal shift towards contralateral side. 2nd cxray shows ICD in situ. Underlying lung expansion and mediastinal prepositioning. Minimal air residue noted.
Yes case of pneumothorax rt side as in 1st xray chest Managed by icd in situ in second xray Trachea which shifted to lt is repositioned Lower basal lung seems to be collapsed
Thanx dr Vipin Bihari Jain
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There's pneumothorax right side chest with consolidation in middle and lower lung
Massive rt side pneumothorax with consolidation in lower and middle zone CT THORAX, CBNAAT with all required hematological investigations to conclude
Thanks Dr. Sandeep Ghodekar
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Rt spontaneous pneumothorax in the first xray slide Rt basal and mid zone consolidation CT chest
SUGGESTIVE of RT. ..COLLAPSE PNEUMOTHORAX PL. EFFUSION ADVISABLE. U. S. G
1. Right sided Pneumothorax. 2. Right sided middle and lower lobe consolidation.
Rt pneumothorax with collapse. Subsequently. Pl effusion
Rt sided spontaneous Pneumothorax
Thanks Dr Dinesh Gupta
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2nd picture shows pneumothorax
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