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Age: 72

Sex: Male

Indication: Trauma

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Case #4


Findings

  • Chest
    • Moderate left hemopneumothorax
    • Mild dependent groundglass opacities in the left upper and lower lobes
    • Left subclavian approach cardiac rhythm maintenance device with leads in the right atrium and right ventricle
    • Moderate coronary artery calcification
    • Thoracic aortic atherosclerosis without aneurysm
  • Upper abdomen
    • Hepatic steatosis
    • Cholecystectomy
  • MSK
    • Acute mildly displaced left anterolateral fourth through seventh rib fractures
    • Remote appearing ununited left posterior eighth rib fracture
    • Left chest wall subcutaneous emphysema


Diagnosis

  • Hemopneumothorax

Sample Report

Acute mildly displaced left anterolateral fourth through seventh rib fractures with a moderate-sized left hemopneumothorax. No mediastinal shift.

Remote appearing ununited left posterior eighth rib fracture.

Mild dependent groundglass opacities in the left upper and lower lobes may represent subsegmental atelectasis and/or aspiration in the setting of trauma.


Discussion

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Images

Hemopneumothorax with gas layering anteriorly (red arrow) and fluid layering posteriorly (yellow arrow) in this supine patient.



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