CT findings of pancreatic injury can be subtle initially however early diagnosis is critical in reducing morbidity and mortality. Direct findings of pancreatic injuries include: enlargement of the pancreas; a laceration (focal linear non-enhancement); comminution (fracture) and inhomogeneous enhancement. Secondary findings include: peripancreatic fluid and stranding; fluid between the splenic vein and pancreas; peripancreatic hemorrhage; thickening of the left anterior pararenal fascia and injuries to adjacent structures.

Devascularisation of the kidney is a AAST Grade 5 injury.