Myocardial Contusion and Multiple Pseudocysts at Lung without Rib Fracture

An 8-year-old boy was admitted to the emergency department because of run over on his chest by a trailer of tractor. Chest X-Ray revealed communicating opacities and cavitary lesions in right lower lung zone but no evidence of sternal or rib fracture (Figure 1).

OPEN IN VIEWER

Figure 1.

Opacities and cavitary lesions in right lower lung zone without rib fracture.

Computed tomography scan revealed diffuse pulmonary contusion, multiple pseudocysts and minimal bilateral pneumothorax (Figure 2). The myocardial contusion was diagnosed by means of EKG, biochemical cardiac enzymes and myocardial perfusion scintigraphy (Figure 3). The patient's symptoms resolved with conservative treatment and 3 months later control CT scan of the thorax revealed resorbtion of pseudocysts.

OPEN IN VIEWER

Figure 2.

Diffuse left lung and right lower and middle lobe contusion, bilateral multiple pseudocysts and minimal bilateral pneumothorax.

OPEN IN VIEWER

Figure 3.

Myocardial heterogen activity and focal enhanced activity in lateral wall.