Demographics:
21 years old, Male
Indication:
Trauma
Findings
- Poor definition of the left hemidiaphragm with abdominal contents overlying the left lung base
- Rightward mediastinal shift
- Hazy left basilar opacities
- No pleural effusion or pneumothorax
- Normal size of the cardiopericardial silhouette
Diagnosis
Diaphragmatic rupture
Sample Report
Poor definition of the left hemidiaphragm with abdominal contents overlying the left lung base. These findings raise concern for diaphragmatic rupture in the setting of trauma. Recommend CT for further evaluation. Associated rightward mediastinal shift.
Hazy left basilar opacities likely relate to atelectasis, aspiration, and/or contusion.
No pleural effusion or pneumothorax.
Discussion