Extrapleural hematoma

Case contributed by Elias Bajotto Adaime
Diagnosis certain

Presentation

Dyspnea following central venous line placement in the right subclavian.

Patient Data

Age: 70 years
Gender: Female

Chest radiograph

x-ray
Download
Info

Frontal x-ray shows a large opacity of the right superior pulmonary field, without significant mediastinal shift. A left jugular central venous line is seen. Clinical information was crucial since it was found out that a right side subclavian venous line had failed to pass in multiple attempts. 

CT Chest

ct
This study is a stack
Axial lung
window
This study is a stack
Axial C+
arterial phase
Sagittal C+
arterial phase
Coronal C+
arterial phase
Download
Info

A large collection located in the right superior extrapleural space is seen, with its density suggesting hematic content. A thin line between the large hematoma and the parietal pleura is noticed (extrapleural fat sign).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.