Normal three-vessel aortic arch. Small (< 10 mm) intimal irregularities of the medial wall of the descending thoracic aorta just distal to the isthmus. No periaortic haematoma.
No heart and pericardium are unremarkable. Small amount of prevertebral haematoma at the cervicothoracic junction. Small retrosternal haematoma 10 mm in maximal thickness to the left of the anterior mediastinum.
Patchy air space opacification represents contusion. Bilateral dependent change within the posterior lungs. No pleural effusion or pneumothorax. Tracheobronchial tree is patent.
Left anterior 6th and 7th rib fractures, and the posterior 2nd rib. Minimally displaced fracture in the inferior sternal body.
Anterior vertebral body fracture of the superior endplate of T1.
IMPRESSION
Medial proximal descending thoracic aorta minimal intimal injury.
Pulmonary contusions.
Sternal and left rib fractures. No flail segment.
Anterior vertebral body fracture T1 (single column).