Normal supine trauma chest x-ray in an obese woman

Case contributed by Dr Andrew Dixon

Presentation

Car accident.

Patient Data

Age: 35
Gender: Female

Trauma Series

Modality: X-ray

Normal supine trauma chest x-ray in an obese woman.

Case Discussion

An example of normal cardiomediastinal widening due to supine positioning in an obese patient. Supine chest radiographs performed in the obese, the elderly and during expiration are particularly susceptible to this widening effect which can incorrectly be interpreted by inexperienced readers as a sign of mediastinal haematoma in the trauma setting. 

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Case Information

rID: 31644
Case created: 19th Oct 2014
Last edited: 24th Nov 2015
System: Chest
Inclusion in quiz mode: Excluded

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