Abstract

A 32-year-old female presented to the emergency department after a motor vehicle collision with complaints of thoracic back pain. Further history was not obtainable owing to marked ethanol intoxication. Vital signs and physical examination were unremarkable except for a mild tachycardia, which resolved with intravenous fluids. A chest radiograph was obtained (Figure 1). Medical records' review revealed that the same abnormality had been noted 17 months earlier (Figure 2). Figure 1. Supine anteroposterior chest radiograph showing (arrow) a 6 × 8-cm focal mass in the left lung base. Figure 2. Chest computed tomographic scan with intravenous contrast obtained 17 months previously and showing (arrow) a 4.5 × 2.8-cm, well-defined, encapsulated fluid collection contiguous with the left heart border.

Highlights

  • A 32-year-old female presented to the emergency department after a motor vehicle collision with complaints of thoracic back pain

  • Further history was not obtainable owing to marked ethanol intoxication

  • Vital signs and physical examination were unremarkable except for a mild tachycardia, which resolved with intravenous fluids

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Summary

Introduction

Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 12(4) Authors Schmitt, Eric R Burg, Michael D Powered by the California Digital Library University of California

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