Presentation
Blunt trauma.
Patient Data
Age: 30 years
Gender: Male
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Multiple bilateral rib fractures and subcutaneous emphysema, no pneumothorax. Left basilar pulmonary contusion, cardiac silhouette normal in size.
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Right thoracostomy tube appropriately positioned, small right pleural effusion, no pneumothorax. Status post plate and screw fixation multiple right rib fractures.
From the case:
Loculated pleural effusion
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Right thoracostomy tube appropriately positioned, multiloculated right pleural effusion, small right pneumothorax. Small posteriorly layering left pleural effusion. Dependent atelectasis.
Case Discussion
This trauma patient likely had a right hemothorax leading to pleural adhesions, resulting in a loculated right pleural effusion.
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