Large traumatic haemothorax

Case contributed by Dr Andrew Dixon

Presentation

Motor car versus a pole at high speed.

Patient Data

Age: 30
Gender: Male

Trauma Radiology Course  Edinburgh June 11  |  Melbourne July 9  |  Video On-Demand August 1

X-ray

Trauma Series

Note the generalised increased density to the right hemithorax and well-defined homogenous density laterally with a well-defined margin representing a supine distribution fluid meniscus. There is midline shift to the left due to mass effect in the right hemithorax. Multiple bilateral rib fractures are seen including fractures posteriorly and laterally on the right which may indicate a flail segment. Nasogastric tube and ETT are appropriately positioned. Attempted pneumocath insertion on the left has been unsuccessful with the catheter within the axilla soft-tissues. Bilateral apical capping is likely related to combination of extra-pleural haematoma from rib fractures and the haemothorax itself on the right. Pulmonary vascular markings are poorly seen on the right indicating pulmonary contusion. Lower volume pulmonary contusion is seen on the left.      

Case Discussion

Typical appearance of a sizeable right sided traumatic haemothorax on supine chest x-ray.

Findings

 

PlayAdd to Share

Case information

rID: 31573
Case created: 16th Oct 2014
Last edited: 23rd Apr 2016
Systems: Chest, Trauma
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.