Pulmonary laceration + contusion / barotrauma - severe car airbag injury
Car hit a tree, airbags deployed. Severe shortness of breath with haemoptysis. Paramedics inserted a chest tube at scene as poor air entry on the left
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Marked asymetrical alveolar opacity (haemorrhage) in entire left lung with air cysts ie traumatic pneumatocoeles (arrows) as well as marked mediastinal emphysema and minor splenic laceration (arrow). Note no rib fractures although there is a left clavicular fracture.