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Review Question - QID 100857

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QID 100857 (Type "100857" in App Search)
A tall, 25-year-old man is brought to the ED by his friend after sudden difficulty breathing while smoking a cigarette. In the trauma bay he is tachypneic, but able to talk to you. Vital signs show that he is afebrile and tachycardic with blood pressure of 115/60. Physical exam reveals hyperresonance and absent breath sounds over the left upper lung. A chest x-ray is obtained and shown below. What is the most likely diagnosis?
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