Case #2

  History :

29 years old male patient with history of chest trauma 

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Findings: 

There is right 1st rib fracture with evidence of superior pneumomediastinum ( white arrows), also there is  small opacity seen in the right apex ( red arrow) given the patient's history this likely represent contusion. Further evaluation by CT scan is advised.

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Findings :

There is superior pneumomediastinum corresponding to the findings on the chest x-ray

Also there is subcutaneous emphysema.

There is a  displaced fracture of the first rib.

The lung apex shows an opacity in the right upper lobe adjacent to the fracture likely represent a contusion.