Lipohemarthrosis

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Twisting injury.

x-ray

Lipohemarthrosis with a tri-layer appearance due to fat on serum on red cells. 

Annotated image

Subtle tri-layer appearance due to fat on serum on red cells.

Case Discussion

Lipohemarthrosis after twisting knee injury that resulted in a tibial plateau fracture. Note the subtle tri-layer appearance due to fat on serum on red cells. This is better seen on CT and MRI.

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