Pneumothorax and pelvic fractures

Case contributed by Dr Andrew Dixon

Presentation

Pedestrian vs car. (Hot Read)

Patient Data

Age: 35
Gender: Male

This case featured in our 2016 Trauma Radiology Course which is now available to view online.

Trauma Series

Modality: X-ray

Right sided pneumothorax in a trauma patient with pleural edge clearly visible. This appearance is more typical of an erect image pneumothorax than a supine image pneumothorax, but nonetheless this patient was supine. Note how the sharp algorithm image can enhance the lung vessels and make the pneumothorax more conspicuous. This sharp algorithm also helps with visualisation of lines and tubes although none were present in this patient. Subtle fracture of the right 7th rib is seen laterally. Pelvic radiograph shows a pelvic binder applied externally with right sided pubic rami and sacral ala fractures. The pubic symphysis and sacroiliac joints are normally aligned. 

Case Discussion

Trauma series radiographs showing a right sided pneumothorax, right 7th rib fracture laterally, right pubic rami fractures and right sacral ala fracture. 

PlayAdd to Share

Case Information

rID: 31530
Case created: 15th Oct 2014
Last edited: 26th Apr 2017
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.