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The x-ray shows increased markings in the right mid-lung, which may be the first signs of a pulmonary contusion. This patient needs close follow-up.

The film also reveals infiltrate in middle of right lung field suggestive of hematoma; no rib fracture was perceived.

The patient was discharged home with instructions to:
– rest
– follow up with her family physician the next day
– r/u CXR to recheck status of x-ray finding
– return immediately in the event of increased chest pain or dyspnea.
Case presented by Nahum Kovalski, BSc, MDCM.
[taq_review]

9-year-old girl has painful breathing after falling on chest

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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