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Chest
Diagnosis
Pleural Diseases
Effusion
Hemothorax
Hemothorax
Claudio Silva, MD, MSc, MBA
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Hemothorax (HTX)

          • Definitions

            • Pleural effusion + variable amounts of blood products
            • Pleural fluid hematocrit > 50% of peripheral blood hematocrit
            • Massive HTX: Volume > 1,000 mL in clinical setting of shock &/or hypoperfusion

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Reporting Tips

                                  Selected References

                                  1. Newbury A et al: Imaging and management of thoracic trauma. Semin Ultrasound CT MR. 39(4):347-54, 2018
                                  2. Staub LJ et al: Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: a systematic review and meta-analysis. Injury. 49(3):457-66, 2018
                                  3. Broderick SR: Hemothorax: etiology, diagnosis, and management. Thorac Surg Clin. 23(1):89-96, vi-vii, 2013
                                  4. Abramowitz Y et al: Pleural effusion: characterization with CT attenuation values and CT appearance. AJR Am J Roentgenol. 192(3):618-23, 2009
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Hemothorax (HTX)

                                          • Definitions

                                            • Pleural effusion + variable amounts of blood products
                                            • Pleural fluid hematocrit > 50% of peripheral blood hematocrit
                                            • Massive HTX: Volume > 1,000 mL in clinical setting of shock &/or hypoperfusion

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • Ultrasonographic Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Newbury A et al: Imaging and management of thoracic trauma. Semin Ultrasound CT MR. 39(4):347-54, 2018
                                                                  2. Staub LJ et al: Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: a systematic review and meta-analysis. Injury. 49(3):457-66, 2018
                                                                  3. Broderick SR: Hemothorax: etiology, diagnosis, and management. Thorac Surg Clin. 23(1):89-96, vi-vii, 2013
                                                                  4. Abramowitz Y et al: Pleural effusion: characterization with CT attenuation values and CT appearance. AJR Am J Roentgenol. 192(3):618-23, 2009