Demographics:
21 years old, Female
Indication:
Fall
Findings
- Lucency along the left cardiomediastinal border
- Layering left pleural effusion with patchy left basilar opacities
- Right lung is clear
- Bilateral apical pleural thickening or loculated fluid
- Bilateral upper rib fractures
Diagnosis
Trace pneumothorax
Sample Report
Lucency along the left cardiomediastinal border is concerning for trace pneumothorax or pneumomediastinum. Chest CT or lateral decubitus radiographs could provide further evaluation.
Layering left pleural fluid collection with patchy left basilar opacities likely representing a combination of contusion, atelectasis, and aspiration in the setting of trauma.
Bilateral upper rib fractures with biapical small extrapleural hematomas vs pleural thickening.
Discussion