A 16 years old male presents with rapidly developing bilateral pleural effusion. The following chest radio-graph was taken in the emergency. All are correct in-terpretations about this radiograph except:
A. Pneumothorax is present
B. Bilateral intercostal chest tubes are present in correct place
C. Mediastinum is shifted
D. Left ided pleural effusion is present
Ans: A. Pneumothorax is present
(Ref: Nelson 20/e p2131)
- The chest X-ray above is showing bilateral intercostal chest drainage tubes in place with the mediastinum shadow slightly shifted to the right.
- As the patient is having intercostal chest tube in place, it is unlikely that he will develop a pneumothorax.
- There is pleural effusion on the left side which is likely contributing to mediastinal shift to the right.