Blunt thoracic trauma
Updates to Case Attributes
The left lower zone density on the chest xray was initially regarded as a haemothorax and a chest drain inserted accordingly; this was then removed prior to the CT scan as no output was obtained and underlying contusions were felt more likely, after cardiothoracic input.
The patient underwent conservative management for all of the injuries, requiring high flow oxygen therapy and an epidural injection for additional pain control. ECG and serial echocardiograms within normal limits. He survived the ordeal and is now an interventional radiologist, as well as fervid radiopaedia supporter. He has not been on a motorcycle ever since.
-<p>The left lower zone density on the chest xray was initially regarded as a haemothorax and a chest drain inserted accordingly; this was then removed prior to the CT scan as no output was obtained and underlying contusions were felt more likely, after cardiothoracic input.</p><p>The patient underwent conservative management for all of the injuries, requiring high flow oxygen therapy and an epidural injection for additional pain control. ECG and serial echocardiograms within normal limits. He survived the ordeal and is now an interventional radiologist, as well as fervid radiopaedia supporter. He has not been on a motorcycle ever since.</p><p> </p><p> </p>- +<p>The left lower zone density on the chest xray was initially regarded as a haemothorax and a chest drain inserted accordingly; this was then removed prior to the CT scan as no output was obtained and underlying contusions were felt more likely, after cardiothoracic input.</p><p>The patient underwent conservative management for all of the injuries, requiring high flow oxygen therapy and an epidural injection for additional pain control. ECG and serial echocardiograms within normal limits. He survived the ordeal and is now an interventional radiologist, as well as fervid radiopaedia supporter. He has not been on a motorcycle ever since.</p>
References changed:
- Thoracic Aortic Injury in Motor Vehicle Crashes: The Effect of Impact Direction, Side of Body Struck, and Seat Belt Use. (2004) The Journal of Trauma: Injury, Infection, and Critical Care. 57 (3): 582. <a href="https://doi.org/10.1097/01.TA.0000088015.83951.D0">doi:10.1097/01.TA.0000088015.83951.D0</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/15454806">Pubmed</a> <span class="ref_v4"></span>
- Predicting Significant Torso Trauma. (2005) The Journal of Trauma: Injury, Infection, and Critical Care. 59 (1): 132. <a href="https://doi.org/10.1097/01.TA.0000171465.80722.0C">doi:10.1097/01.TA.0000171465.80722.0C</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/16096552">Pubmed</a> <span class="ref_v4"></span>
- Fitzharris M, Franklyn M, Frampton R, Yang K, Morris A, Fildes B. Thoracic aortic injury in motor vehicle crashes: the effect of impact direction, side of body struck, and seat belt use. J Trauma 2004; 57:582. doi: 10.1097/01.TA.0000088015.83951.D0
- Nirula R, Talmor D, Brasel K. Predicting significant torso trauma. J Trauma 2005; 59:132
Updates to Study Attributes
Tiny right apical pneumothorax.
Haziness over mid and lower zones of the left lung. Subtle lucency over left heart border.
Some left sided-sided posterior rib fractures are visible. Asymmetric soft tissue density over the left clavicular region.
Updates to Study Attributes
Partially confluent ground glass changes and centrilobular nodules predominantly involving the left lung, presumed mostly secondary to contusional injury.
Pneumopericardium with sleeve of dependant high density fluid in the lower left aspect of the sac (coronal reformat). Pneumomediastinum tracking up to the anterior jugular veins. Small bilateral pneumothoraces are present. Shallow left haemothorax.
Prominence of the prevertebral and periaortic planes, without evidence of aortic rupture. Multilevel traumatic disruption of posterior ribs and vertebral transverse processes on the left side.
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