Chest Challenge: chest x ray spotter

By Dr Deepu
This is a chest X ray of a 60 year old male. Presenting with history of alleged fall and right sided chest pain. His X rays are displayed here. The two X rays are 3 days apart. Observe the X rays and answer these questions.

1.What is your diagnosis?
2.The second X ray has worsened than the first one. What is the cause?
3. What can we expect in the CT thorax?

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