Jack is a 30-year-old gentleman who presents to the local em…
Jack is a 30-year-old gentleman who presents to the local emergency department where you are working. Jack complains of sudden onset shortness of breath and right-sided pleuritic chest pain. Upon examination you note decreased chest excursion and diminished breath sounds on the right side. Tactile fremitus is absent and you note a hyperresonant percussion sound on the right side. A CXR reveals a white visceral pleural line on the right side. You diagnose Jack with: