MedPix® Patient Chart - Case No: 3794 :: Imaging - Review Images

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History

Age: 27 :: Gender: man

Patient History

27 year old male was elbowed in right side of face while playing football. Patient presented with pain, edema, echymosis, and palpable depression in right cheek.

Exam


Physical Exam and Laboratory


Findings


Summary of Findings

Both the AP and lateral views (films 1 and 2, respectively) reveal evidence of an old craniotomy, which has been repaired and is well-healed (the patient suffered an epidural hematoma after a fall at age 8). However, the cheek injury was not apparent on either view.

Film #3 is a submentovertex (SMV) view, also called a bucket handle view, reveals obvious depression of the right zygomatic arch.


Diffferential


Differential Diagnosis


Diagnosis


Case Diagnosis

Dx: Zygomatic Arch Fracture


Dx Confirmed by:

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History:
27 year old male was elbowed in right side of face while playing football. Patient presented with pain, edema, echymosis, and palpable depression in right cheek.

Exam:


Findings:
Both the AP and lateral views (films 1 and 2, respectively) reveal evidence of an old craniotomy, which has been repaired and is well-healed (the patient suffered an epidural hematoma after a fall at age 8). However, the cheek injury was not apparent on either view.

Film #3 is a submentovertex (SMV) view, also called a bucket handle view, reveals obvious depression of the right zygomatic arch.


Differential:


Diagnosis:
Zygomatic Arch Fracture
Confirmed by:

Treatment and Followup:


Discussion:

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Case Contributor and Editor

Submitted by: Joshua S Ritenour - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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