No Obvious Tracheal Deviation in Surgery — 32yo Man | Trauma Surgery | SMLE Q#941

SMLE Question #941

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 32-year-old man is brought to the emergency department after a high-speed road traffic accident. He is confused and reports chest pain. Examination shows markedly distended neck veins. Bilateral air entry is equal on auscultation, with no obvious tracheal deviation and no signs of massive external bleeding. Heart sounds are difficult to appreciate. What is the most likely diagnosis?

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