EURORAD ESR

Case 544

Costal hook sign as a radiological pattern of flail chest

Author(s)
M. Wintermark, P. Schnyder
 
Patient
male, 45 year(s)
 
 
  • Published 25.10.2000
  • DOI 10.1594/EURORAD/CASE.544
  • Section Chest Imaging
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 17263
  • Language(s)
  • Figure 1
    Right flail chest featuring a costal hook sign on the plain film
     

    Admission plain film of the chest discloses a "costal hook" sign (arrow) as a typical pattern of flail chest. The ipsilateral hemithorax is partially blurred due to concomittant presence of a hemothorax. Subcutaneous...

     
    Area of Interest: unknown; Imaging Technique: Right flail chest featuring a costal hook sign on the plain film;

    Spiral CT sections (3-mm) portray the flail chest as striking serial double rib fractures. The hemothorax results in a right lung collapse and justified chest tube insertion

     
    Area of Interest: unknown; Imaging Technique: Right flail chest featuring a costal hook sign on the plain film;

    Spiral CT sections (3-mm) portray the flail chest as striking serial double rib fractures. The hemothorax results in a right lung collapse and justified chest tube insertion

     
    Area of Interest: unknown; Imaging Technique: Right flail chest featuring a costal hook sign on the plain film;
     
     
Admission plain film of the chest discloses a "costal hook" sign (arrow) as a typical pattern of flail chest. The ipsilateral hemithorax is partially blurred due to concomittant presence of a hemothorax. Subcutaneous and muscular emphysema is also portrayed (From Wintermark M, Schnyder P (2000) Trauma of the chest wall. In Schnyder P, Wintermark M. Radiology of blunt trauma of the chest. Springer, Berlin Heidelberg New York, pp 9-27)
 
Spiral CT sections (3-mm) portray the flail chest as striking serial double rib fractures. The hemothorax results in a right lung collapse and justified chest tube insertion
 
Spiral CT sections (3-mm) portray the flail chest as striking serial double rib fractures. The hemothorax results in a right lung collapse and justified chest tube insertion
 
 
 
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