Chest
- Small right haemothorax.
- Tiny pneumomediastinum
- Fractures of the right T7-T9 transverse processes
- Fracture through the right posterolateral superior corner of the T10 vertebral body.
Abdomen/Pelvis
- Devascularisation of the left kidney secondary to dissection of the left renal artery (AAST Grade V). Traumatic transection thought less likely given the absence of a large perivascular haematoma or contrast blush. No urinary contrast so a collecting system injury can’t be ruled out.
- Linear region of contrast in the posterior mid left kidney likely represents a small region of perfusion rather than a renal laceration with active bleeding given the absence of surrounding fluid or stranding.
- Left adrenal haematoma.
- Transection of the pancreatic body (AAST Grade III). High risk of pancreatic duct injury.
- Splenic laceration (AAST Grade I) and left lobe of liver laceration (AAST Grade I). No active contrast extravasation.
- Retroperitoneal haematoma tracking into the lienorenal and gastrosplenic ligaments.
- Small haemoperitoneum
Incidental findings
- Tampon in situ
- Cholecystectomy