A patient presents with a closed chest injury, jugular vein distension, unequal breath sounds, and a chest with asymmetrical rise on inspiration. He likely has a(n)

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A tension pneumothorax is indicated by symptoms such as jugular vein distension, unequal breath sounds, and asymmetrical chest rise, which are consistent with the patient's presentation. These signs suggest a significant shift in mediastinal structures due to the accumulation of air under pressure in the pleural space.

A Patient Presents with a Closed Chest Injury, Jugular Vein