monary fibrosis (2). The reported incidence of primary spontaneous pneumothorax is 18 to 28 per 100 000 per year in men and 1.2 to six per 100 000 per year in women (1). Mortality is greater in men than in women.A tension pneumothorax is usually associated with trauma or mechanical ventilation and the incidence of spontaneous development is rare. A spontaneous tension pneumothorax may complicate one to three per cent of unrecognized pneumothoraces (3). This feared complication typically presents with obvious respiratory distress and signs of cardiovascular instability requiring emergency needle decompression and tube thoracostomy.Presented is an interesting case of a young female who presented to the Emergency Room with right-sided chest pain

Introduction. Whilst most consequences of diabetes mellitus are well recognized, breast-related complications remain obscure. The term diabetic mastopathy (DMP) attempts to describe the breast-related consequences of diabetes. Methods. We report the clinicopathologic findings in a patient with DMP and review the literature on this uncommon entity. Results. A 33-year-old woman with type 1 diabetes had excision biopsy of a 2 cm breast lump. Histopathologic evaluation revealed classic features of DMP: parenchymal fibrosis; keloid-like hyalinization of interlobular stroma; adipose tissue entrapment; lobular compression; dense chronic inflammatory cell infiltration; and lymphoid follicle formation. Conclusion. Clinicians should be aware of DMP as a differential for breast disease in women with uncontrolled diabetes.

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