1st April 2022

A 60-year old gentleman with a history of emphysema complains of acute-onset dyspnoea

A 60-year old gentleman with a history of emphysema complains of acute-onset dyspnoea and pleuritic chest pain. Clinical examination reveals unilateral reduced chest expansion, diminished breath sounds and hyperresonant percussion.

Select the SINGLE most appropriate diagnosis from the list below. Select ONE option only.