Extrapleural hematoma

Case contributed by Elias Bajotto Adaime


Dyspnea following central venous line placement in the right subclavian.

Patient Data

Age: 70 years
Gender: Female

Chest radiograph


Frontal x-ray shows a large opacity of the right superior pulmonary field, without significant mediastinal shift. A left jugular central venous line is seen. Clinical information was crucial since it was found out that a right side subclavian venous line had failed to pass in multiple attempts. 

CT Chest


A large collection located in the right superior extrapleural space is seen, with its density suggesting hematic content. A thin line between the large hematoma and the parietal pleura is noticed (extrapleural fat sign).

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