Normal supine trauma chest x-ray in an obese woman

Case contributed by Dr Andrew Dixon


Car accident.

Patient Data

Age: 35 years
Gender: Female

Trauma Series

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: 3rd Oct 2017
Systems: Chest, Forensic, Trauma
Inclusion in quiz mode: Excluded

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