Teenager in motor vehicle accident with continued shortness of breath after chest tube placement

CT of chest tube malposition with chest tube in the lung parenchyma
Axial and coronal and sagittal CT with contrast of the chest shows a large amount of air in the left pleural space. The left chest tube is clearly located within the air space disease in the posterior left lung parenchyma in all three planes.

The diagnosis was persistent pneumothorax in a thoracic trauma patient with pulmonary contusion due to the chest tube tip not being in the pleural space.