During transport of a shooting victim, you determine his trachea is shifting to the right and you notice his neck veins are becoming distended. which finding would you most likely see accompanying these signs to indicate a tension pneumothorax requiring immediate attention?

From the given observation are the shift of trachea to right and the distending of neck veins and the medical condition of pneumothorax implies that the sounds from the lungs are not heard on the left side of the chest. This is a case of suspicion of malignancy and since it requires immediate attention it must be in secondary stage.