Chest & Cardiovascular Imaging · NEET PG Preparation Radiology
A 35-year-old male presents with acute onset chest pain and dyspnea. A chest radiograph demonstrates a deep sulcus sign on the right side, along with…
Practice question from Chest & Cardiovascular Imaging (NEET PG Preparation Radiology), with the correct answer and a step-by-step solution.
medium · MCQ · Q-4CEECF
A 35-year-old male presents with acute onset chest pain and dyspnea. A chest radiograph demonstrates a deep sulcus sign on the right side, along with hyperlucency and absent bronchovascular markings in the periphery. What is the most appropriate initial management if he is hemodynamically unstable?
- A.Immediate needle decompression followed by tube thoracostomyCorrect answer
- B.High-flow oxygen and observation for 24 hours
- C.Contrast-enhanced computed tomography of the thorax
- D.Emergency diagnostic bronchoscopy
Solution
The clinical presentation and radiographic findings (hyperlucency, absent bronchovascular markings, and the deep sulcus sign) are characteristic of a tension pneumothorax or large pneumothorax. In a hemodynamically unstable patient, immediate life-saving intervention with needle decompression followed by tube thoracostomy is mandatory, without waiting for confirmatory CT imaging.
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