Pediatric Hemothorax

  • Etiology: blood in pleural space, common causes are trauma and anticoagulation
  • CXR: meniscus sign on AP view, may be free flowing on decubitus view
  • US: complex fluid in pleural space
  • DDX: pleural effusion, empyema
  • Complications: can become loculated and difficult to drain via chest tube

Radiology Cases of Hemothorax

US of hemothorax in patient on extracorporeal membrane oxygenation (ECMO)
Sagittal and transverse US of the right chest shows a complex fluid collection in the right pleural space.