T-spine - Normal paravertebral line - AP
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T-spine - Normal paravertebral line - AP
- The thoracic spine vertebral bodies gradually increase in size from superior to inferior
- Note the normal paravertebral line and descending aorta
- Occasionally widening of the paravertebral line indicates a haematoma due to a spinal fracture
T-spine - Paravertebral haematoma - AP
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T-spine - Paravertebral haematoma - AP
- In this case there is marked widening of the mediastinum due to haematoma formation
- There is loss of clarity of the cortical outline of the vertebral bodies indicating fractures - much more easily seen on the CT study (see below)
T-spine - Paravertebral haematoma - CT
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T-spine - Paravertebral haematoma - CT
- (Same patient as image above)
- This coronal plane image of the thoracic spine shows grossly comminuted fractures and a very large paravertebral haematoma