CTICasesParaspinal Hematoma
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Imaging findings
The patient presented with a traumatic injury. The bedside chest radiograph revealed a subtle interface between the mediastinum and the lung that was separate from the aortic-lung interface. CT correlation confirmed a paraspinal hematoma associated with a vertebral fracture, demonstrating the extent of the blood in the paraspinal region.
Key takeaways
A paraspinal interface that appears separate from the aortic-lung interface on chest radiographs is a classic sign of paraspinal hematoma in trauma patients. This finding is often subtle and easily overlooked, so careful inspection of mediastinal interfaces is critical when evaluating trauma patients with vertebral fractures.
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