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There is a dissection flap which arises at the distal aortic arch with perfusion of false and true lumens. Immediately distal to this a further linear transmural density with intra-mural haematoma is seen and is consistent with a contained aortic transection. There is also a mediastinal haematoma.
There is a moderate sized haematoma in the right pelvis and a filling defect in the right external iliac artery proximally in keeping with vessel injury, probably from traumatic dissection. The femoral artery is perfused distally. The stomach is fluid filled and distended placing the patient at risk of aspiration.