Pneumothorax /Haemothorax

Air/blood in the pleural space may be difficult to see on supine trauma film. Signs of an ‘occult’ pneumothorax are:

  • Deep sulcus sign
  • Crisp cardiac outline
  • Pleural line

Haemothorax forms a diffuse hazy shadowing behind the supine lung.

The x-ray shows an erect haemo-pneumothorax (stabbed).