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Age: 24
Sex: Female
Indication: Trauma
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Case #13
Findings
Chest Radiograph
- Acute nondisplaced right first rib fracture.
- No pleural effusion or pneumothorax.
- Mild hazy bibasilar opacities.
CT
- Chest
- Mild peripheral groundglass opacities in the anterior aspects of the right upper and middle lobes and to a lesser extent in the lingula
- Trace bilateral pneumothoraces
- Trace anterior pneumomediastinum
- Residual thymus in the anterior mediastinum
- Abdomen/Pelvis
- No acute findings
- Narrowing and inferior deviation at the origin of the celiac artery with poststenotic dilation
- MSK
- Acute nondisplaced fractures of the right first rib and of the left fifth through eighth ribs
- Acute L1 compression fracture with approximately 10% anterior height loss and no bony retropulsion
- Possible additional acute compression fracture of the T11 vertebral body without significant height loss or bony retropulsion
- Mild offset of the coccygeal segments
Diagnosis
- Pulmonary contusion
Sample Report
Acute nondisplaced fractures of the right first and left fifth through eighth ribs. Trace bilateral pneumothoraces.
Trace anterior pneumomediastinum without mediastinal hematoma or evidence of aortic trauma.
Pulmonary contusion in the anterior aspects of the right upper and middle lobes and to a lesser extent in the lingula.
Acute L1 and possibly T11 compression fractures with minimal height loss and no bony retropulsion.
Age-indeterminate mild offset of the coccygeal segments which may be traumatic or developmental.
No acute traumatic findings in the abdominopelvic cavity.
Narrowing at the origin of the celiac artery likely relates to median arcuate ligament compression. Though often asymptomatic, this finding can be a cause for chronic abdominal pain.
Discussion
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