Presentation
Mid air collision during football match. Severe left sided chest pain and shortness of breath.
Patient Data
Ill-defined increased opacity in the left lower zone near the left heart border. Otherwise normal.
13 mm traumatic pneumatocele and small lung contusions in the lingula and left lower lobe.
Overlying minimally displaced fractures to the anterior-lateral aspect of left 3, 4, 5, 6, and 7 ribs.
Case Discussion
Lovely example of chest trauma. Multiple minimally displaced rib fractures with underlying lung parenchymal ground glass opacities, representing contusions, and a cyst, representing a lung laceration.
The elastic recoil of the lung tissue causes the laceration to take on a circular shape, rather than the linear morphology seen in lacerations within solid organs.