A 43-year-old female presents to the ED with sudden onset of dyspnea and left sided chest pain. The patient tells you she just underwent a TAH for uterine fibroids and was discharged home 5 days ago. The patient denies other past medical history although she relates having a spontaneous pneumothorax when she was a teenager. On examination, the patient is noted to be morbidly obese. Her vitals are: BP 146/88, HR 124, RR 28, T 37.0, and Pulse Ox on Room Air 93%. Her physical exam reveals clear lung fields with no evidence of JVD, edema, or stigmata of a DVT. While waiting for a STAT portable chest radiograph to be performed, you perform a thoracic ultrasound to evaluate for possible pneumothorax.
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