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Case of the Week 577 
What is the most likely diagnosis?
Close-up of Frontal Supine Chest Radiograph
- Pneumonia
- Clavicular fracture
- Pulmonary embolism
- Flail chest
- Air Embolism
Additional Image-None
Additional Images
None
Answer:
4. Flail chest
More (Click Discussion Tab)
Flail chest
General Considerations
- Segment of thoracic cage is separated from remainder of chest wall by significant blunt chest trauma
- Relatively uncommon, but potentially life-threatening
- Definition varies from two fractures per rib for two contiguous ribs to two fractures per rib for three contiguous ribs
- Sternum may also be involved with ribs on both sides of chest
- Severity of underlying lung and cardiac injury are clinically more important than fractures themselves
MORE . . .
.
This Week
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
