#january2020mccqe1
A previously healthy 30-year-old man who is a lifelong nonsmoker is evaluated in the emergency department for sudden onset of right-sided chest pain and shortness of breath. On physical examination, vital signs are normal. There are decreased breath sounds over the posterior right thorax. The cardiac examination is normal. A chest radiograph is obtained and is shown.
Which of the following is the most likely diagnosis?
(A) Heart failure
(B) Hydropneumothorax
(C) Pneumonia
(D) Pulmonary embolism
A previously healthy 30-year-old man who is a lifelong nonsmoker is evaluated in the emergency department for sudden onset of right-sided chest pain and shortness of breath. On physical examination, vital signs are normal. There are decreased breath sounds over the posterior right thorax. The cardiac examination is normal. A chest radiograph is obtained and is shown.
Which of the following is the most likely diagnosis?
(A) Heart failure
(B) Hydropneumothorax
(C) Pneumonia
(D) Pulmonary embolism
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