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 Indian J Med Microbiol  
 

Figure 13: Tension gastrothorax. A 30-year-old male patient with history of trauma a month ago presented with vomiting and breathlessness. CT topogram and coronal image show evidence of air within the left hemithorax (air in dilated stomach) (white arrow) with absence of lung markings within, collapse of underlying lung, and mediastinal shift, similar to pneumothorax. However, in this case, the collapsed lung is pushed superiorly (black arrow) suggesting a diaphragmatic hernia, as opposed to a pneumothorax in which the lung is pushed inferiomedially

Figure 13: Tension gastrothorax. A 30-year-old male patient with history of trauma a month ago presented with vomiting and breathlessness. CT topogram and coronal image show evidence of air within the left hemithorax (air in dilated stomach) (white arrow) with absence of lung markings within, collapse of underlying lung, and mediastinal shift, similar to pneumothorax. However, in this case, the collapsed lung is pushed superiorly (black arrow) suggesting a diaphragmatic hernia, as opposed to a pneumothorax in which the lung is pushed inferiomedially