Aortic transections are life threatening injuries. This case outlines diffuse embolic sequelae associated within the abdomen and both limbs.

The small filling defect within the IVC was through to be venous thrombus / fat embolism from the left femur long bone fracture - it is always important to check both the venous system and the pulmonary arteries for emboli in the setting of long bone fractures. 

This patient survived and went onto having urgent endo-luminal thoracic aortic graft and bilateral popliteal thrombectomies.