Pneumothorax Symptoms and Diagnosis

What are the Symptoms of Pneumothorax?

Symptoms normally come on suddenly and commonly begin with chest pain. Other symptoms may include: 

  • Chest pain that worsens when trying to breath in
  • Shortness of breath
  • Bluish skin, lips or nails caused by a lack of oxygen
  • Fatigue
  • Rapid breathing and heartbeat
  • Cough

How Pneumothorax is Diagnosed

Your healthcare provider will want to know your medical history and complete a physical exam. During the exam, your provider will listen to your lungs through a stethoscope. As you breathe, they may tap your chest and listen for hollow sounds. Since higher than normal levels of carbon dioxide and low levels of oxygen can be indicators of a collapsed lung, your provider may suggest an arterial blood gas test to test these levels. To get a definite diagnosis, your provider will most likely order an imaging test such as a chest X-ray, a lung ultrasound or a CT scan.

What Is a Collapsed Lung?

Our lungs are responsible for bringing oxygen into the bloodstream and removing carbon dioxide from our bodies. Each lung expands like a balloon when we inhale air, but what happens if the balloon cannot inflate?

Reviewed and approved by the American Lung Association Scientific and Medical Editorial Review Panel.

Page last updated: February 18, 2026

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