Unilateral hypertranslucent hemithorax secondary to traumatic chest wall haematoma

Case contributed by Dr Nolan Walker

Presentation

Chest pain post fall.

Patient Data

Age: 56
Gender: Male

There is no focal consolidation throughout the right lung, however, there is a unilateral hypertranslucent hemithorax on the right lung.

There is no volume loss or pleural thicking.

The X-ray is AP and there is no pleural effusion.

The left lung is clear. The radiograph is not rotated. There is no scoliosis. 

There is an approximately 4 cm deep haematoma within the right trapezius muscle.

There is no blush of contrast to suggest active bleeding.

There is no rib fracture.

Case Discussion

The patient was taking Rivaroxaban. This was given in the full history.

SAFE POEM is a useful mnemonic. However, these have all been eliminated in the findings on the chest x-ray. (as discussed in brackets).

Chest wall haematoma is a rare cause of a unilateral hypertranslucent hemithorax.

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Case information

rID: 53490
Case created: 20th May 2017
Last edited: 30th May 2017
System: Chest
Inclusion in quiz mode: Included

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