Sternal fracture with retrosternal hemorrhage

Case contributed by Dr Andrew Dixon

Presentation

Car accident. Chest pain.

Patient Data

Age: 70
Gender: Female

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

Hemorrhage within the anterior mediastinal fat particularly in the retrosternal region due to a sternal fracture (best seen on the sagittal images). 

Case Discussion

While this is a reasonably obvious example of a sternal fracture, being able to recongise anterior mediastinal and retrosternal hemorrhage in the setting of trauma is very useful as it can often alert you to a subtle sternal fracture that you otherwise may have missed.

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