Question 1519
{"accessible":true,"alternatives":[{"id":7587,"text":"diaphragmatic rupture"},{"id":7584,"text":"hemothorax"},{"id":7585,"text":"lung collapse"},{"id":7588,"text":"patient rotation"},{"id":7586,"text":"pulmonary contusion"}],"archived":false,"correctAlternativeId":7584,"explanation":"\u003cp\u003eThere is generally increased density of the left hemithorax with pulmonary vessels remaining visible and\u0026nbsp;positive mass effect (shift of mediastinum to right). This is in keeping with haemothrorax in this setting of trauma with left rib fractures. Some extra-pleural hematoma associated with the rib fractures is also likely.\u003c/p\u003e\u003cp\u003eThe left hemidiaphragm contour is maintained (gastric bubble position) and therefore diaphragm rupture does not account for the density. Lung collapse would result in reduced volume in the opacified hemithorax.\u0026nbsp;While some pulmonary contusion may be present, it would not cause mediastinal shift and would obscure the pulmonary vessels and therefore hemothorax is the best answer.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1519,"imageUrl":"https://prod-images-static.radiopaedia.org/images/24595153/43beb261c52caddf22331ad52ec53e_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":47394},"imageAttributionCaseInfo":{"title":"Traumatic hemothorax","contributor_name":"Bruno Di Muzio","contributor_param":"bmuzio","case_rid":47394,"case_param":"traumatic-haemothorax"},"firstQuestionPath":"/questions/1527","nextQuestionPath":"/articles/diaphragmatic-rupture/questions/130","relatedArticles":[{"id":24341,"title":"Hemothorax","link":"/articles/haemothorax?lang=us"},{"id":7346,"title":"Pulmonary contusion","link":"/articles/pulmonary-contusion?lang=us"}],"alsoUsedIn":[{"id":989,"kind":"Course","title":"2021 Virtual Conference Private Use - page 989","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/989"},{"id":989,"kind":"Course","title":"2022 Virtual Conference Private Use - page 989","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/989"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":24,"kind":"LiveSchedule","title":"24","link":"https://radiopaedia.org/admin/live_schedules/24"},{"id":585,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 585","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/585"},{"id":585,"kind":"Course","title":"2020 Virtual Conference Private Use - page 585","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/585"},{"id":862,"kind":"Course","title":"2021 Virtual Conference Private Use - page 862","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/862"},{"id":695,"kind":"Course","title":"Trauma \u0026 Emergency Radiology Course - page 695","link":"https://radiopaedia.org/courses/medical-mums/pages/695"},{"id":695,"kind":"Course","title":"Chest Imaging Lecture Package - page 695","link":"https://radiopaedia.org/courses/chest-imaging-lecture-package/pages/695"},{"id":695,"kind":"Course","title":"Trauma Radiology Course - page 695","link":"https://radiopaedia.org/courses/trauma-radiology-course-online/pages/695"},{"id":695,"kind":"Course","title":"2020 Virtual Conference Private Use - page 695","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/695"}],"stem":"\u003cp\u003e50-year-old who fell from 3 meters. Which of the following best\u0026nbsp;accounts for the increased density of\u0026nbsp;the\u0026nbsp;left hemithorax?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1519"}],"attemptsPercentages":[{"alternativeId":"7587","percentage":12},{"alternativeId":"7585","percentage":5},{"alternativeId":"7584","percentage":74},{"alternativeId":"7588","percentage":4},{"alternativeId":"7586","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"diaphragmatic-rupture"}