Case 309

Case 309

Medical history

Male patient, 68yo, taken by SAMU to the Emergency Department, after being hit by a car. He was admitted with cervical collar, complaining of pain in the left hemithorax. There was no loss of consciousness or vomiting. At examination: patent airways, hemodynamic stability, without neurological changes. FAST (Focused Assessment with Sonography for Trauma) showed no evidence of viscera lesion and no free fluid in the abdominal cavity. Chest X-ray was requested and, later, computed tomography (CT) of the chest.

Image 1: Simple chest radiography, posteroanterior incidence, orthostatic position.

Image 2: Chest CT, axial cut, supracarinal level, mediastinal window, without intravenous injection of iodinated contrast medium.

Image 3: Chest CT, axial cut, infracarinal level, lung window, without intravenous injection of iodinated contrast medium.


Question:
Based on clinical history and imaging tests, in addition to costal arch fractures, one can diagnose:

Test question

Question:
(UFF-2014) Regarding post-traumatic hemothorax, it is correct to state that:

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