CTICasesTracheal Injury from Gunshot Wound
Imaging findings
CT chest in a patient with a gunshot wound to the neck demonstrates extensive soft tissue gas and hematoma at the thoracic inlet, with a subtle focal pouching/deformity along the posterolateral wall of the trachea, representing a tracheal tear.
Key takeaways
Penetrating neck or chest trauma can result in tracheobronchial injury. On CT, these injuries can be extremely subtle, presenting as a focal deformity of the tracheal contour or local soft tissue air. High suspicion and bronchoscopy are essential to avoid missing these injuries, which require surgical repair.
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