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Radiology · Chest radiograph: pneumothorax
Sample itemWhich radiographic finding supports a pneumothorax?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A visceral pleural line with no lung markings peripheral to it
In pneumothorax, air in the pleural space separates the visceral pleura from the chest wall; no vascular lung markings are seen beyond the pleural line.
Option by option
A. Blunting of both costophrenic angles
Costophrenic blunting suggests pleural fluid.
B. A visceral pleural line with no lung markings peripheral to it (correct)
Correct. This is the defining radiographic feature.
C. Diffuse bilateral Kerley B lines
Kerley B lines suggest interstitial edema.
D. Air bronchograms in a lower lobe
Air bronchograms occur in alveolar consolidation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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