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Extrapleural Hematoma with Displaced Extrapleural Fat Sign

Extrapleural Hematoma with Displaced Extrapleural Fat Sign▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

CT reveals rib fractures on the left side and a hyperattenuating, oval-shaped hematoma. The medial aspect of this hematoma demonstrates fat, representing the displaced extrapleural subcostal fat sign.

Key takeaways

The displaced extrapleural fat sign, characterized by fat displaced internally by an extrapleural collection, is a highly useful indicator of an extrapleural hematoma, most commonly caused by trauma. It helps distinguish an extrapleural process from a parenchymal or pleural one.

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