Presentation
Motor vehicle collision.
Patient Data
Age: 18 years
Gender: Male
From the case:
Bilateral deep sulcus signs of supine pneumothoraces
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Deep sulcus signs are seen bilaterally with crisp outlines of the hemidiaphragms. Pneumomediastinum is also evident with streaky lucency seen in the superior mediastinum.
From the case:
Bilateral deep sulcus signs of supine pneumothoraces
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CT confirms pneumomediastinum and bilateral pneumothoraces. Minor right upper lobe opacification.
Case Discussion
Deep sulcus sign is one of a supine pneumothorax, which at times is a difficult diagnosis to make.