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Insights into Imaging
Fig. 1a–c | Insights into Imaging

Fig. 1a–c

From: A pictorial review of traumatic pericardial injuries

Fig. 1a–c

A 21-year-old male involved in a moderate speed motorbike accident with prominent transmission of force through the head and chest. Initial CXR (a) showing an endotracheal tube, oesophageal monitoring probe and bilateral tube thoacostomies. In addition a dextrocardia of uncertain significance was noted. The motorcyclist had sustained a right-sided pericardial tear with cardiac herniation into the right hemithorax. The selected coronal image on lung window setting (b) demonstrates the pneumopericardium with altered cardiac axis. On the intra-operative photo (c), note the expected position of the heart (yellow asterisk) and the site of the right-sided pericardial tear (grey arrow) which resulted in cardiac herniation. (a Reprinted with permission from [18])

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