Deep sulcus sign

Case contributed by Dr. Justin Luke Yap


Patient was involved in a motor vehicular accident sustaining rib fractures.

Patient Data

Age: 55 years
Gender: Male


Left sided tension pneumothorax secondary to multiple left rib fractures. Contralateral deviation of the mediastinum is appreciated.

Note of deep sulcus sign in AP supine view.

Case Discussion

Reversal of the diaphragmatic dome and rounding of the ipsilateral sulcus.

Hyperlucent region devoid of lung markings.

Features suggest pneumothorax with presence of a deep sulcus sign.

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Case information

rID: 74081
Published: 4th Feb 2020
Last edited: 11th Feb 2020
System: Chest, Trauma
Inclusion in quiz mode: Included

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