Oblique fissure haematoma

Case contributed by Townsville radiology training

Presentation

Stabbed R. shoulder blade 3/52. Pneumothorax. Pain at chest drain site. Afebrile.

Patient Data

Age: 41
Gender: Female
Modality: X-ray

Large, well demarcated ovoid homogeneous opacity 9.5 x 5.5 cm in right upper zone. Given the sharp margins it is most likely pleural in origin (versus parenchymal). The distinct shape suggest that it follows the oblique fissure.

Case Discussion

Differentials for such findings are fissural cyst, fissural haematoma. This patient has known haematoma along right oblique fissure. Minimal interval change.

If clinically not infective, haematoma is unlikely to be infected.

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Case Information

rID: 19211
Case created: 16th Aug 2012
Last edited: 24th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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