This case is a nice example of a supine hemothorax on a trauma chest radiograph being identifiable as a generalized increase in hemithorax density compared to the contralateral side.
CT Findings
- Bilateral hemothorax, right greater than left
- mild atelectasis adjacent to the hemothoraces
- small pulmonary contusion and traumatic pneumatocele right lung base
- multiple bilateral anterobasal incomplete rib fractures
- right T10 transverse process and vertebral body fracture with adjacent locules of gas
- trace bilateral pneumothorax anterobasally (very tiny!)