Multiple left rib fractures. Mildly displaced sternal body fracture. Small left pneumothorax with chest tube in place. Extensive soft tissue gas along the right body wall into the groin.
Laceration of the pancreas body/neck with hypoenhancement surrounding fluid. Hypo-absent enhancement of the duodenum with discontinuity with the proximal jejunum. Thickening and hypoenhancement of the proximal transverse colon. Pneumoperitoneum. Medium hemoperitoneum.
Infrarenal abdominal aortic intimal injury with a dissection flap extending into the common iliac arteries, with severe focal narrowing on the right and small amount of mural thrombus on the left. On coronal images, notice the beaded/accordion-appearance of the external iliac arteries indicating spasm or possible stretch injuries.