CTICasesOccult Layering Hemothoraces in Spine Fracture
Imaging findings
CT in a trauma patient shows paraspinal hematoma, rib fractures, severe spine fractures, and large bilateral layering hemothoraces. The fluid was radiographically occult on portable supine radiograph due to contrast normalization and symmetry.
Key takeaways
Layering hemothoraces in a supine trauma patient can be occult on portable chest radiographs. The fluid layers posteriorly and, when symmetric, does not cause unilateral density differences or a distinct pleural line, highlighting the necessity of CT.
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