CASE HISTORY / CLINIC:
71-year-old polytraumatized patient.



FINDINGS:
There is air in the right flank and in the pleural cavity.
Increased density of the right and left inferior lobes. Tubular structure in the right lung. Soft tissue enlargement on the left with density similar to blood.
Pleural drainage (Bülau's method)
in the left lung.

DIAGNOSIS:
Subcutaneous emphysema.
Pneumothorax (mainly tension pneumothorax, based on the fact that the mediastinum has been displaced to the left.).
Atelectasis of the inferior lobes / bleeding of contussion
on both sides. Malpositon of pleural drainage on the right.
Flank hematoma on the left.

Web resources:

1) Medline plus
2) AWMF
3) Uni Aachen
4) AHC-Consilium
5) Yale University
6) Jend
7) Radiology review
8) Chorus
9) Medicine worldwide