Mediastinal hemorrhage: An evaluation of radiographic manifestations
Eleven common radiographic signs of mediastinal hemorrhage were evaluated by two observers for the following three patient groups: normal subjects, patients with mediastinal hemorrhage and no arterial injury, and patients with major thoracic arterial injury. Supine chest radiographs were studied in all cases. Four major conclusions can be made based upon these finding. M/C ratio (mediastinal width to chest width), tracheal deviation, left hemothorax, paraspinal line widening, and aorto-pulmonary window opacification do not reliably separate these three groups of patients. The diagnosis of mediastinal hemorrhage may be made if the aortic contour is abnormal or if one of the following signs is positive: abnormal mediastinal width, apical cap, widening of the right paratracheal stripe, or deviation of the nasogastric tube. Due to interobserver variation, there is good agreement between observers for the following four signs only: transverse mediastinal width, tracheal deviation, nasogastric tube deviation, nasogastric tube deviation, and right paratracheal stripe widening.
- Research Organization:
- Univ. of Kentucky, Lexington
- OSTI ID:
- 6833828
- Journal Information:
- Radiology; (United States), Vol. 151:1; Conference: 69. scientific assembly and annual meeting of the Radiological Society of North America, Chicago, IL, USA, 13 Nov 1983
- Country of Publication:
- United States
- Language:
- English
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HEMORRHAGE
DIAGNOSIS
MEDIASTINUM
BIOMEDICAL RADIOGRAPHY
AORTA
INJURIES
PATIENTS
ARTERIES
BLOOD VESSELS
BODY
BODY AREAS
CARDIOVASCULAR SYSTEM
CHEST
DIAGNOSTIC TECHNIQUES
MEDICINE
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
RADIOLOGY
SYMPTOMS
550602* - Medicine- External Radiation in Diagnostics- (1980-)