Abstract
A 19-year-old man with mediastinal lymphoma experienced blunt chest trauma because of a motorcycle crash. On initial presentation to the emergency department (ED), he was conscious but irritable, with a pulse rate of 131 beats/min, blood pressure of 137/59 mm Hg, and ambient air saturation of 70%. Intubation and tube thoracostomy were performed promptly because of respiratory distress and decreased breath sounds on the right side. The focused sonography showed no intra-abdominal free fluid. The chest radiograph revealed faint lung opacities and borderline mediastinal widening, suggesting a bilateral medial lung contusion injury.
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