Deep sulcus sign of supine pneumothorax

Case contributed by Dr Henry Knipe

Presentation

Motor vehicle collision. Intubated.

Patient Data

Age: 45 years
Gender: Male
Modality: X-ray

Deep sulcus sign on the left in keeping with a large left pneumothorax. Superior mediastinum is widened. ETT and bilateral pneumocaths. 

Modality: CT

Bilateral pneumothoraces moderate to large on the left and small on the right. Bilateral pneumocaths, within the pneumothorax on the left, and within the right upper lobe on the right. Bilateral rib fractures. 

Superior mediastinal haematoma extending as bilateral extrapleural haematomas at the apices related to thoracic spine fractures. No evidence of a traumatic aortic injury within the limitations of a non- gated scan.

Case Discussion

Typical appearances of a large pneumothorax on a supine chest radiograph. 

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Case Information

rID: 47381
Case created: 13th Aug 2016
Last edited: 5th Apr 2017
Systems: Chest, Trauma
Inclusion in quiz mode: Included

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