EURORAD ESR

Case 9274

Penetrating injury to the lung from wooden foreign object

Author(s)
Gulek B, Ozkaya M, Serdar Demirkiran M, Cengiz Oztop M
 
Patient
male, 31 year(s)
 
 
  • Figure 1
    Initial PA-chest radiograph

    This initial PA-chest radiograph shows a large focal density at the lateral aspect of the left upper lung zone, together with blunting of the left costophrenic angle, consistent with left pleural effusion and/or...

     
    Area of Interest: Lung; Thorax; Trauma; Imaging Technique: Conventional radiography;
     
     
  • Figure 2
    Initial CT study

    Axial CT scan obtained in lung window settings reveals a well-defined extrapulmonary mass at the level of the LUL.

     
    Area of Interest: Lung; Thorax; Trauma; Imaging Technique: CT;
     
     
  • Figure 3
    Axial CT obtained a few days later

    Axial CT scan at lung window settings. There is an air-fluid level in the non-dependant part of the lesion consistent with an abscess formation.

     
    Area of Interest: Lung; Thorax; Trauma; Imaging Technique: CT;
     
     
  • Figure 4
    Axial CT view at mediastinal window settings

    The air-fluid level within the lesion and the thickened pleura posteriorly, are better visualised at mediastinal window settings.

     
    Area of Interest: Lung; Thorax; Trauma; Imaging Technique: CT;
     
     
  • Figure 5
    US of the pleura (LUL)

    A fluid collection with an echogenic focus and an acoustic shadow behind it are clearly depicted on ultrasound examination.

     
    Area of Interest: Lung; Thorax; Trauma; Imaging Technique: Ultrasound;
     
     
  • Figure 6
    Wooden foreign object viewed during the operation.

    This intraoperative picture demonstrates the wooden object embedded in the tissues, and the reactive tissue changes surrounding it.

     
    Area of Interest: Lung; Thorax; Trauma;
     
     
  • Figure 7
    The piece of wood extracted from the patient.

    The wooden foreign object is seen as an extracted material in this picture, after being removed from the patient.

     
    Area of Interest: Lung; Thorax; Trauma;
     
     
This initial PA-chest radiograph shows a large focal density at the lateral aspect of the left upper lung zone, together with blunting of the left costophrenic angle, consistent with left pleural effusion and/or thickening.
 
Axial CT scan obtained in lung window settings reveals a well-defined extrapulmonary mass at the level of the LUL.
 
Axial CT scan at lung window settings. There is an air-fluid level in the non-dependant part of the lesion consistent with an abscess formation.
 
The air-fluid level within the lesion and the thickened pleura posteriorly, are better visualised at mediastinal window settings.
 
A fluid collection with an echogenic focus and an acoustic shadow behind it are clearly depicted on ultrasound examination.
 
This intraoperative picture demonstrates the wooden object embedded in the tissues, and the reactive tissue changes surrounding it.
 
The wooden foreign object is seen as an extracted material in this picture, after being removed from the patient.
 
 
 
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