Thoracic Trauma

Question 1

What are the x-ray findings of left and right diaphragm hernias?

Answer 1

Right - elevation of diaphragm, loss of contour and left shift of mediastinum

Left - diaphragm elevation, hollow viscera in thorax, discontinuous diaphragm contour, contralateral mediational shift, ngt in thorax

Question 2

Radiology signs of aortic rupture.

Answer 2

Widening of mediastinum ( width more than 8cm above carina, 25 percent of chest)

Blurring of contours of aortic arch

Left apical pleural cap

Deviation of trachea and ngt to right with depression of left mainstem bronchus

Widening of right paratracheal stripe and paraspinal lines

Question 3

Name pulmonary and extrapulmonary causes for ARDS

Answer 3

Pulmonary - contusion, aspiration, smoke inhalation, near drowning, pneumonia, abscess

Extrapulmonary - iatrogenic, burns, hypovolemia, hypoperfusion, massive blood transfusion, systemic sepsis