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Title: Mediastinal hemorrhage: An evaluation of radiographic manifestations

Conference · · Radiology; (United States)
OSTI ID:6833828

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