Fig. 18

A 29-year-old male, status post gunshot wound. Emergently performed supine lateral chest radiograph at initial presentation (a) demonstrated an anterior right pneumothorax (solid arrow). Follow-up frontal chest radiograph (b) obtained 7 days later revealed a persistent right apical pneumothorax (small white arrow). Upon retrospective review, an alveolar- pleural fistula (black arrows) was present on this coronal reformatted image from the initial CT evaluation (c). This was secondary to lung laceration sustained along the bullet track. Axial minIP (d) image demonstrates the communication of this pulmonary laceration with the pneumothorax