Diagnosis of Pneumothorax

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The clinical manifestations of pneumothorax are usually a certain degree of tachycardia together with a decrease in the motility of the affected hemithorax, reduction or absence of respiratory noise, increased resonance to percussion and decreased voice transmission, sometimes with subcutaneous emphysema.

Thorax radiography is diagnostic and identifies the presence of air in the pleural cavity which, to a greater or lesser extent, causes the collapsed lung.

Computed tomography (CT) is not routinely recommended for a patient with a first episode of spontaneous pneumothorax and is limited to certain specific cases, such as detecting small pneumothorax, emphysema or bullous disease with a possible indication of surgery.

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