Chest x-ray after trauma

Case contributed by Dr Ahsan Shahzad


Patient presented with history of road traffic accident

Patient Data

Age: 45 years
Gender: Male

Volume loss is noted in right lung field with mild compensatory hyperinflation of contralateral lung. Non-homogenous air space opacification involves the right lower and middle zones with loss of diaphragmatic contour and obscured right heart border, likely due to collapse. There is blunting of right costophrenic angle most likely due to right pleural effusion. Left lung as well as the costophrenic angle are unremarkable. 

Multiple fractures are noted including the right mid clavicle, posterior right 5th, 6th, 7th and 8th ribs and scapular blade. The congruency of the right sternoclavicular joint appears to be disrupted and subluxation/dislocation should be excluded. No fracture involving the left ribs, scapulae or clavicle.

Case Discussion

This patient presented with a history of an RTA. Chest x-ray was performed as a part of an initial assessment and demonstrates multiple injuries of the thorax and right upper limb.  

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Case information

rID: 63480
Published: 8th Oct 2018
Last edited: 8th Oct 2018
System: Trauma
Inclusion in quiz mode: Excluded
Institution: Ittefaq Hospital

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