File:Chest multitrauma - aortic injury (Radiopaedia 34708-36147 A 96).png

From NC Commons
Jump to navigation Jump to search

Chest_multitrauma_-_aortic_injury_(Radiopaedia_34708-36147_A_96).png ‎(512 × 512 pixels, file size: 143 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 34708
  • Image ID: 11528719
  • Image stack position: 96/313
  • Plane projection: Axial
  • Aux modality: C+ arterial phase
  • Modality: CT
  • System: Chest
  • Findings: CT angiogram thorax Periaortic hematoma extending from the mid arch down to the level of the diaphragm. This is not associated with a focal intimal flap, however there is slight irregularity to the undersurface of the arch in the region of the ductus arteriosus. Moderate right and small left hemopneumothoraces. Intercostal catheters in situ bibasally. Bilateral subcutaneous emphysema. Multifocal pulmonary contusion throughout the periphery of the right lung and in the left apex and posterior lung. Minimally displaced oblique fracture through the lower body of sternum. Dislocated right sternoclavicular joint and mildly displaced fractures through the right first to sixth costal cartilages. Right 5th and sixth comminuted head and neck of rib fracture. Right ninth angle of rib fracture. Left first neck and lateral rib fractures. Second to fourth posterolateral rib fractures. Comminuted left fifth to twelfth neck of rib fractures. CT abdomen/pelvis No hemoperitoneum. No injury to solid or hollow abdominal viscera is identified. No pelvic fracture. Thoracolumbar spine At T5-T6 level there is a complex 3 column fracture dislocation characterized by: an oblique fracture traversing from left T5 vertebral body across disc into right lateral T5 vertebral body fractures through the T5 right pars intra-articularis and left pedicle/pars interarticularis, which then traverse the laminae and base of spinous process Fractures through the bilateral T6 pedicles and the T6 spinous process There is approximately 1 cm lateral translocation across the T5/6 level. The spinal canal at this level is almost obliterated by multiple displaced fracture fragments. Left T5-T9 transverse process fractures. Left L1 and L2 transverse process fractures T10, T11 and T12 vertebral bodies contain minimally displaced fractures through the right superior lateral corners. Conclusion
Date Published: 28th Aug 2015
Source https://radiopaedia.org/cases/chest-multitrauma-aortic-injury
Author Craig Hacking
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

File history

Click on a date/time to view the file as it appeared at that time.

Date/TimeThumbnailDimensionsUserComment
current15:49, 6 August 2021Thumbnail for version as of 15:49, 6 August 2021512 × 512 (143 KB)Fæ (talk | contribs)Radiopaedia project rID:34708 (batch #7386-96 A96)

You cannot overwrite this file.

Metadata

This file contains additional information, probably added from the digital camera or scanner used to create or digitize it.

If the file has been modified from its original state, some details may not fully reflect the modified file.

Retrieved from "https://nccommons.org/w/index.php?title=File:Chest_multitrauma_-_aortic_injury_(Radiopaedia_34708-36147_A_96).png&oldid=910666"