Case contributed by Dr Ian Bickle


Eldery female, fell at home. Left sided chest pain and shortness of breath.

Patient Data

Age: 76
Gender: Female

A perfectly straight line traverses the lower left thoracic cavity due to a combination of fluid and air in the pleural space.

Right lung clear.

Case Discussion

Hemo or hydropneumothoraces are due to a combination of blood or other fluid along with air in the pleural space.

Trauma and thoracic intervention are the usual culprits.

Unlike in a pleural effusion with a lateral meniscus, when air and fluid is combined the appearances are perfectly straight in the horizontal plane due to the air-fluid level.

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Case information

rID: 46033
Published: 21st Jun 2016
Last edited: 14th Aug 2019
System: Chest, Trauma
Inclusion in quiz mode: Included

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