Haemothorax due to rib fractures

Case contributed by Dr Andrew Dixon

Presentation

Fell in the bathroom. Flank pain.

Patient Data

Age: 85
Gender: Male

This case featured in our 2016 Trauma Radiology Course which is now available to view online.

X-ray

Trauma Series

Fractures of the right 7th and 8th ribs posteriorly and generally increased density of the right hemithorax compared to left suggestive of a right sided haemothorax

CT

Chest CT

CT confirms the x-ray suspicion of a right sided haemothorax related to fractures of the 7th, 8th, 10th and 11th ribs posteriorly and 7th to 11th right transverse process fractures. No definite contrast extravasation is seen to indicate active arterial bleeding.

Case Discussion

Typical appearance of a unilateral haemothorax on supine chest x-ray related to multiple rib and transverse process fractures. 

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Case information

rID: 31555
Case created: 15th Oct 2014
Last edited: 28th Jul 2016
Systems: Chest, Trauma
Inclusion in quiz mode: Included

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