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I had a USMLE World question the other day where they basically described a guy with a spontaneous pneumothorax (there were no precipitating events such as a stab wound, etc). Then the question was about physical findings and the correct answer was tracheal deviation to the contralateral side. I didn't pick that and I can't remember what the other options are off the top of my head. Goljan says that with spontaneous pneumothorax (i.e. rupture of subpleural bleb) the trachea deviates to the ipsilateral side and that in tension pneumothorax the trachea deviates to the contralateral side. Did I miss something in the history? If not, who is correct here?