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Blunt aortic injury / partial transection at the isthmus and large pseudoaneurysm. Large volume middle mediastinal haematoma with right tracheal and oesophageal deviation Left diaphragmatic rupture and stomach herniation into the posterior mediastinum. Low volume brachiocephalic vessels, suggesting volume depletion. Left haemothorax, alveolar opacity compatible with pulmonary contusion, and posterior atelectasis. Small right sided pneumothorax and posterior pulmonary contusions. Displaced right posterior 12 rib fracture. No scapular or sternal fracture.