INTRODUCTION: A 42-year-old male was admitted to the ER after a traffic accident in an unconscious state and in a respiratory distress.
CASE PRESENTATION: A whole-body computed tomography (CT) was performed. It showed bilateral pneumothorax, pneumomediastinum, bilateral haemothorax, pulmonary contusions, and rib fractures.
Emergency bilateral thoracocentesis was performed and the patient was transferred to ICU for further treatment.
CONCLUSION: It is important to remember that multiple types of injury in a single patient may coexist and radiologists should not be distracted by depicting one type of trauma and neglect other coexisting or associated types of injuries.