28-year-old Man in Surgery — 28yo Man | Trauma Surgery | SMLE Q#6400

SMLE Question #6400

Surgery Trauma Surgery

Objective: OBJ-TR-THORAX-01

Last updated: February 2026
A 28-year-old man is brought to the emergency department 30 minutes after being stabbed in the right anterolateral chest. He is anxious and dyspneic. Examination shows a 2-cm stab wound, decreased right chest expansion, tracheal deviation to the left, stony dullness to percussion over the right hemithorax, and markedly decreased breath sounds on the right. What is the most likely diagnosis?

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