File:Bulging of paraspinal line in traumatic thoracal spinal compression fracture (Radiopaedia 29221-35872 Axial bone window 9).jpg

$File:Bulging of paraspinal line in traumatic thoracal spinal compression fracture (Radiopaedia 29221-35872 Axial bone window 9).jpg$

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Summary:

Description	Radiopaedia case ID: 29221 Image ID: 11265366 Image stack position: 9/60 Plane projection: Axial Aux modality: bone window Study description: Trauma multidetector CT Study findings: CT confirms fracture of T12 with slightly wedged anterior part, fracture line not extending to posterior cortex nor lamina. Subtle left paravertebral hematoma is also visualized. Incidental note is made of hepatomegaly, slightly wedged vertebra T11, general spondylotic changes, and notochordal rest level T12. Conclusion Traumatic thoracic spine compression fracture T12. Modality: CT System: Spine Findings: The soft tissue shadow of the left paraspinal line bulges near the diaphragm. Following trauma this finding is consistent with localized hematoma i.e. an indirect sign of a vertebral fracture. No mediastinal widening, no evidence of pulmonary contusion, pneumo- or hematothorax, no further evidence of fracture or dislocation. Conclusion Lower thoracic vertebral fracture probable.
Date	Published: 25th Feb 2015
Source	https://radiopaedia.org/cases/bulging-of-paraspinal-line-in-traumatic-thoracal-spinal-compression-fracture
Author	René Pfleger
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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