Paravertebral hematoma post trauma on supine CXR

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Fall from 10 meters. GCS 13.

Patient Data

Age: 18 years
Gender: Male

The lungs and pleural spaces are clear. Both hemidiaphragms are sharp suggesting the presence of pneumothoraces. Bilateral undulating thickening and displacement of the bilateral paravertebral stripes. Mediastinal contours are normal. No fracture identified.

Paravertebral hematomas. T6, T7, T8, T10, T11, T12, L1 fractures.

Case Discussion

Great example of a trauma supine CXR showing paravertebral stripe displacement due to paravertebral hematomas due to vertebral body fractures.

Chest CT confirmed small bilateral PTXs.

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