Pulmonary contusion after gunshot wound

Case contributed by Jada Hislop
Diagnosis almost certain

Presentation

Status-post thoracic gunshot wound.

Patient Data

Age: 20 years
Gender: Male

Presenting portable CXR

x-ray

Findings of gunshot wound right chest with bullet fragment in the right axilla, moderate right hemopneumothorax, small left pneumothorax, and right axillary subcutaneous emphysema.

Post bilateral chest tubes

x-ray

Status post bilateral chest tube placement with resolution of right hemopneumothorax and left pneumothorax and development of right pulmonary contusion.

Case Discussion

In a patient presenting with penetrating trauma to the chest, the most likely etiology of pulmonary consolidation is pulmonary hemorrhage, i.e. pulmonary contusion or laceration. A CT was done and showed pulmonary contusion.

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