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Signs of pneumothorax on supine x-rays Deep sulcus sign a deep and sometimes lateral costophrenic sulcus Double diaphragm sign visualization of the anterior costophrenic sulcus Increase in sharpness of the cardiac borders, adjacent mediastinal margin, or diaphragm Visualization of inferior edge of collapsed lung Increased lucency on affected side Depression of the ipsilateral hemidiaphragm X-ray mimics: skin fold, bullae, gastric herniation CXR vs PoCUS Most studies comparing the two modalities are in trauma and use supine x-rays

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