Lung damage from lightning strike injury
Young women arrived with helicopter ambulance after a lightning strike injury. Mental confusion, agitation and emotional lability.
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The CT examination shows a pulmonary contusion and hemorrhage in the lingular segments of the left upper lobe and in the adiacent basal anterior segment of the left lower lobe.
There is also a cutaneous burn lesion on the left chest wall, caused by the lightning strike. We see also single subcutaneous metallic pieces (probably from metal parts of the breast holder).
Lightning-induced lung damage is rare because of the poor conduction capacity of the air in the lungs.