Image Based Question – 74405


A 12 years old male involved in a bike accident presents to emergency department with cough, dyspnea and chest discomfort. On evaluation, BP was 130/80 mm Hg, Pulse rate 88/min and respiratory rate 22/min. On auscultation, there was decreased air entry on one side with absent breath sounds. Pulse oximetry shows saturation of 98%. Chest X-ray is given below. Most probable diagnosis is:

A. Left sided pneumothorax with lung collapse

B. Rupture of esophagus compressing the pericardium

C. Flail chest due to fracture of ribs 5, 6, 7 & 8

D. Normal chest X-ray


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