A 58- year-old male involved in a collision with his car. He was intubated because of lowered consciousness. He had no respiratory or circulatory abnormalities, but there were lacerations across his chest and clinically evident fractures of both lower extremities.

Participation

Moderate quality X-ray due to insufficient inspiration Correct position of the orotracheal tube and stomach tube. Rib fractures of the 1st and 2nd right ribs, the 5th and 7th ribs of the left hemithorax. Ill-defined dense areas across the left lung suggesting pulmonary contusion. Fracture of the right clavicle. Abnormal configuration of the mediastinum with left apical capping suggesting a haematoma, haemothorax, or mediastinal bleeding

Requirements

(1), (2) MDCT demonstrated pleural fluid, suggesting a haemothorax (density: 29 HU) (asterisks). In addition, MDCT demonstrated or confirmed the presence of: - atelectasis - sternal fractures with a retrosternal haemotoma (not shown) - rib fractures, fracture clavicle (not shown) - pulmonary contusion with pulmonary lacerations (not shown) subcutaneous emphysema (not shown) pneumothorax (not shown).

Extraexaminations

No EXTRA EXAMINATIONS for this particular case.

Requirements

Multitrauma patient with haemothorax for which the patient received a chest drain. pneumothorax and pulmonary contusion . Fractures of the ribs, clavicle and sternum. Associated injuries: pelvic fracture with urethral lesion, complicated fractures of the lower extremities, minor head injury.

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