Image Finding 1) Fracture of the right 2nd to 9th ribs. 2) Severe subcutaneous emphysema in the right chest wall and lower neck. 3) Arteriosclerosis of tortuous aorta. 4) Suspect pulmonary contusion or infectious process in both lower lungs.
Impression Subcutaneous emphysema Fracture of the right 2nd to 9th ribs
Plan Tranferred to 急外 Arrange chest CT Consult chest surgeron
Chest CT Finding 1) Pneumomediastinum and subcutaneous emphysema in the bilateral chest wall and right aspect of the abdominal wall. 2) Fractures of the right 2nd-6th ribs. 3) Subsegmental atelectasis in the left lingular lobe. 4) Cardiomegaly, arteriosclerosis of the aorta, bilateral common carotid and coronary artery(LAD) 5) Calcification of mitral valves. 6) Spondylosis deformans of thoracolumbar spine. 7) Tiny right renal calculus. 8) Consider bilateral renal cysts. Bosniak classification Category I.