CASE HISTORY / CLINIC:
34-year-old victim of a car accident


FINDINGS:
Evidence of rib fracture on both sides as seen at this cross-sectional level. Densities similar to air under the skin (subcutaneous air), in the mediastinum and in pleural cavity are apparent on the left side. Evidence of left dorsal homogeneous fluid of density similar to blood.
Tubular structures on the left..



DIAGNOSIS:
Polytraumatized patient with rib fractures, subcutaneous emphysema, mediastinal emphysema, pneumothorax on the ventral left side. Bloody pleural effusion on both sides. Closed pleural drainage (Bülau's method) on the left.

Web resources:

1) Jend
2) AWMF