X-ray Characteristics of Injuries to the Organs of the Thoracic Cavity in Combat Trauma.

Abstract

Objective. To systematize CT changes in lesions of soft tissues, lungs, mediastinal organs and chest bones in combat trauma and to determine their value for solving expert forensic medical problems. Materials and Methods. As part of solving the tasks set in this group of observations, we studied 40 cases of chest injuries from gunshot and mine-explosive wounds (hereinafter referred to as MBR). Results. In the course of the study, 40 people with penetrating wounds of the thoracic cavity were selected. Using computed tomography data, the wound canal was visualized, represented by a consolidation zone, along which air accumulations, bone fragments and foreign bodies of various densities may be noted. Based on changes in the pulmonary parenchyma, it is possible to assume the trajectory of the wound canal and the duration of the injury. Conclusion. To determine the trajectory of a wounding projectile according to CT scans of the thoracic cavity, the following data should be used: traumatic changes in the pulmonary parenchyma, which are represented by a consolidation zone, fractures of bone structures and the presence of foreign bodies of varying densities.