Pneumothorax: Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Occult pneumothorax – form of pulmonary collapse not seen on a standard radiograph.
  • Spontaneous tension pneumothorax – life-threatening form of pneumothorax in which increased pressure in the pleural space causes problems with blood flow to the heart, as well as impaired unfolding of the opposite lung.
  • Other spontaneous pneumothorax
  • Iatrogenic pneumothorax – collapse of the lung caused by a medical procedure.
  • Other pneumothorax
  • Hematopneumothorax – collapse of the lung characterized by air and blood accumulation.
  • Coagulothorax/fibrothorax – consequence of hematothorax not completely relieved.
  • Pleural emphysema – accumulation of pus in the pleural space.
  • Pneumomediastinum (synonym: mediastinal emphysema) – accumulation of air in the mediastinum (part of the chest located between the two lungs); possible causes of spontaneous occurrence are:
    • Asthma exacerbations
    • Recurrent vomiting
    • Seizures
    • Valsava maneuvers (severe coughing, intense physical exertion, such as weight lifting, childbirth).
    • Barotrauma (flying and diving).
    • Strong singing or screaming
    • Iatrogenic: Working with air-driven turbines in the lower jaw during dental treatment.
    • Alcohol overuse and drugs (cannabis (hashish and marijuana); cocaine, heroin).

Injuries, poisonings, and other consequences of external causes (S00-T98).

  • Pulmonary contusion (pulmonary contusion)
  • Rib fracture (rib fracture), unspecified
  • Traumatic pneumothorax (S27.0) – pneumothorax resulting from an injury
  • Traumatic hematopneumothorax (S27.2) – hematopneumothorax caused by injury