PMC6408993_01
CXR of the case on admission showing the white out lung on the left side giving the impression of massive pleural effusion.
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fig1
The chest X-ray on admission showed bilateral lung opacity (Figure 1), and pleural tapping was done, which revealed a bloody content.
Initial CT chest of the patient (coronal view) with complete obliteration of the left hemithorax and some lung parenchyma seen in the right hemothorax. Hounsfield units were consistent with hemorrhagic effusion.
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fig2
IV contrast was done, and it showed massive bilateral hemothorax, more on the left side causing lung collapse, but no evidence of contrast extravasations (Figures 2-5). Immediately, a chest tube (size: 28 Fr) was inserted in the left side, which yielded around 1000 mL of blood (Figure 6).
CT chest of the patient (axial view) showing the position of the chest tube and location of hemothorax.
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fig3
IV contrast was done, and it showed massive bilateral hemothorax, more on the left side causing lung collapse, but no evidence of contrast extravasations (Figures 2-5). Immediately, a chest tube (size: 28 Fr) was inserted in the left side, which yielded around 1000 mL of blood (Figure 6).
CT chest of the patient (axial view) showing the position of the chest tube and location of hemothorax.
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fig4
IV contrast was done, and it showed massive bilateral hemothorax, more on the left side causing lung collapse, but no evidence of contrast extravasations (Figures 2-5). Immediately, a chest tube (size: 28 Fr) was inserted in the left side, which yielded around 1000 mL of blood (Figure 6).
Another image of the CT chest (axial) in the lower chest showing cuts with massive hemothorax.
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fig5
IV contrast was done, and it showed massive bilateral hemothorax, more on the left side causing lung collapse, but no evidence of contrast extravasations (Figures 2-5). Immediately, a chest tube (size: 28 Fr) was inserted in the left side, which yielded around 1000 mL of blood (Figure 6).
CXR postdrainage of hemothorax with abnormal pleura.
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fig6
IV contrast was done, and it showed massive bilateral hemothorax, more on the left side causing lung collapse, but no evidence of contrast extravasations (Figures 2-5). Immediately, a chest tube (size: 28 Fr) was inserted in the left side, which yielded around 1000 mL of blood (Figure 6).