Severe non-cardiovascular thoracic trauma: diagnostic clues on computed tomography

Radiologia (Engl Ed). 2023 May-Jun;65(3):258-268. doi: 10.1016/j.rxeng.2023.05.002. Epub 2023 May 13.

Abstract

Objective: About 60% of multiple trauma patients have thoracic trauma, and thoracic trauma results in the death of 10% of these patients. Computed tomography (CT) is the most sensitive and specific imaging modality for the diagnosis of acute disease, and it helps in the management and prognostic evaluation of patients with high-impact trauma. This paper aims to show the practical points that are key for diagnosing severe non-cardiovascular thoracic trauma by CT.

Conclusion: Knowing the key features of severe acute thoracic trauma on CT is crucial to avoid diagnostic errors. Radiologists play a fundamental role in the accurate early diagnosis of severe non-cardiovascular thoracic trauma, because the patient's management and outcome will depend largely on the imaging findings.

Keywords: Computed tomography; Multiple trauma; Politraumatismo; Thoracic trauma; Tomografía computarizada; Traumatismo torácico.

MeSH terms

  • Humans
  • Multiple Trauma*
  • Thoracic Injuries* / diagnostic imaging
  • Tomography, X-Ray Computed / methods