Sonographic barcode sign of pneumothorax

A 16-year-old female presented with dyspnea and left chest pain after a severe motor vehicle accident. Upon arrival, her vital signs were temperature: 36.2°C, pulse rate: 86/min, respiratory rate: 17/min and blood pressure: 126/78 mmHg. Physical examinations revealed decreasing breath sound over left lung field. Thoracic ultrasound showed barcode sign over left lung (Figure 1A) in M-mode and indicated the presence of pneumothorax. Chest radiograph and computed tomography confirmed the diagnosis of pneumothorax (Figure 1B and C). Because the amount of pneumothorax is small, the patient received oxygenation therapy and supportive care. Several days later, follow-up of chest radiograph showed the re-expansion of left lung, and the patient's condition gradually improved.

from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2uRIzqp