Female, 25 years old.MVA yesterday's there any evidence of rib fracture? Metallic BBs placed on sites of pain. Heart size appears upper normal for age, vascular redistribution is present and perihilar vascular unsharpness is suggestive of borderline edema. Please note that chest technique has a limited sensitivity for osseous pathology including fracture or dislocation. If clinically warranted, dedicated bone technique films of the are of interest would be recommended. Within this limitation, no conclusive displaced fractures of the visualized ribs are appreciated. The posterior spinal elements and right scapula near the markers are inadequately visualized for assessment.
1. The cardiothoracic ratio appears prominent for the patient's age and the lungs also appear to show signs of mild hypervolemia. 2. Although no displaced rib fractures are identified, this does not exclude the presence of nondisplaced fracture which may not be visible by this technique. Dedicated bone-technique radiographs of the area of interest are suggested if there is continued clinical suspicion.