Presentation
Motor-vehicle accident with blunt trauma to chest wall
Patient Data
Age: 30 years
Gender: Male
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Multiple round cavities filled with air, blood or both and surrounded by ground-glass opacity. Two of these lesions have associated thin tracks leading to the pleural surface and one lesion is immediately subpleural. Small pneumothorax.
Mediastinal emphysema extending into the neck and breach of the bronchial wall at the carina.
No evidence of hemopericardium.
No rib, scapular, clavicular or sternal fracture is identified.
Case Discussion
This case illustrates the sequelae of high-energy blunt chest trauma with contusions, lacerations, pneumatoceles, hematoceles, pleuroparenchymal fistulae, pneumothorax and ruptured bronchus at the carina.