case_images: PMC9664310_01
case_images: Bilateral rib fractures with flail segment, as seen in (A) three-dimensional reconstruction of initial CT and (B) flattened image of the chest wall.
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case_images: F1
case_images: Clinical exam identified flail chest and flail sternum, right pneumothorax with right pneumomediastinum, and extensive subcutaneous emphysema (see figure 1).
case_images: PMC9664310_02
case_images: PMC9664310_03
case_images: PMC9664310_04
case_images: PMC9664310_05
case_images: Postoperative posterior to anterior chest X-ray demonstrating hardware placement.
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case_images: F2
case_images: They were taken back to the operating room where they underwent open reduction and internal fixation of right ribs 5 and 7 to 9 and left ribs 2 and 3 and sternal fixation as well as cryoneurolysis of right intercostal nerves 4 to 8 (see figure 2).
case_images: PMC9664310_06
case_images: CT of the chest demonstrating anterior right chest empyema.
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case_images: PMC9664310_06_tsaco-2022-001004f03.jpg
case_images: F3
case_images: By hospital day 15, an empyema had developed (see figure 3).
case_images: PMC9664310_07