Post splenectomy chest radiograph
Post-operative chest x-ray.
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Large volume of free subdiaphragmatic gas, absent spleen shadow, and LUQ drain tube - in keeping with splenectomy.
Left ICC tip projects over the mediastinum. No pneumothorax identified. Subcutaneous gas and pneumomediastinum noted.
There is evidence of trauma with an intercostal catheter and pneumomediastinum. The spleen is a frequently injured abdominal organ in blunt trauma, and in this case the patient had a high-grade injury requiring splenectomy.