CT - CTA Chest (selected images)
Axial C+ arterial phase
Coronal bone window
Sagittal bone window
What are the main complications?
Laceration of the superior vena cava or brachiocephalic vein, injury to the subclavian or carotid arteries, thoracic outlet syndrome from venous compression, compression of the laryngeal recurrent nerve, pneumothorax, oesophageal or tracheal rupture.
Posterior left sternoclavicular joint dislocation with the proximal segment
of the left clavicle compressing the left brachiocephalic vein. There is an
associated anterior mediastinum haematoma, but no definitive features of
active bleeding. Thoracic aorta has normal calibre and opacification, with
no acute abnormalities. The remainder of the mediastinal structures are
unremarkable.
Patchy confluent airspace consolidations and groundglass opacities in the
left upper lobe and in the medial aspects of the right lung. A tiny
pneumothorax is identified adjacent ot the superior segment of the right
lower lobe. Lungs and pleural spaces are otherwise unremarkable.
Non-displaced fracture through the lateral margin of the right scapula.