A 32-year-old man presents to the emergency department following a high-speed motor vehicle collision with blunt chest trauma. On examination, he has severe dyspnea, tachycardia (HR 118/min), hypoxia (SpO₂ 88% on room air), and decreased breath sounds on the right side. Trachea is midline. Which investigation is most appropriate to confirm the diagnosis and guide immediate management?
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