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Age: 33

Sex: Male

Indication: Trauma

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Case #12


Findings

  • Chest
    • Mild dependent atelectasis/scarring in both lower lobes and the lingula
    • Low density mediastinal fluid extending to the inferior margin of the aortic arch, consistent with fluid within the superior aortic recess of the transverse sinus
  • Upper abdomen
    • No acute findings
  • MSK
    • Mild subcutaneous emphysema and fat stranding anterior to the left sternocleidomastoid muscle and strap muscles


Diagnosis

  • High-riding pericardium (anatomic variant)

Sample Report

High-riding pericardium (anatomic variant) without evidence of traumatic aortic injury.

Soft tissue laceration/contusion along the anterior upper left chest and neck.


Discussion

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Images

Red arrow: conspicuous fluid in the aortic recess of the transverse pericardial sinus, which can be mistaken for periaortic hematoma.



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