September 2023 Pulmonary Case of the Month: A Bone to Pick

No abstract available. Article truncated after 150 words. History of Present Illness A 56-year-old man presented acute onset shortness breath. He denied cough, fever or other symptoms Past Medical History, Family and Social • Occasional gout relevant family history Never smoked Medications Allopurinol Multivitamin Physical Examination Other than tachypnea mild breath, no significant abnormalities. Chest X-ray An AP chest was performed (Figure 1). Which abnormality is suggested by the X-ray? 1. Calcified micronodules in right lung 2. Retained secretions with atelectasis left 3. Right pneumothorax 4. 1 3 5. None. The within normal limits. Correct! There a deep sulcus sign on hyperexpansion hemithorax suggesting pneumothorax. may be only indication pneumothorax, especially supine film, when air collects anteriorly basally …