A 43-Year-Old Construction Worker Is Brought to the Emergency Department

A 43-year-old construction worker is brought to the emergency department after falling 6.1 m (20 ft) from faulty scaffolding.  The patient has severe chest pain and appears scared.  Blood pressure is 136/92 mm Hg, and pulse is 120/min.  Chest x-ray is shown below. Which of the following is the most likely diagnosis in this patient?

A) Blunt aortic injury
B) Diaphragmatic rupture
C) Left ventricular aneurysm
D) Myocardial contusion
E) Pulmonary contusion
F) Tracheobronchial disruption

Correct Answer:

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