Presentation
Falling from the 2nd floor followed by severe right flank pain
Patient Data
Age: 8 years
Gender: Male
From the case:
Hepatic lacerations
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C+ arterial phase

Multiple deep linear branching hypodense lacerations are seen involving the posterior segment of right hepatic lobe with associated large hypodense subcapsular parenchymal hematoma. No evidence of contrast blush or active bleeding. Intact vascular pedicle.
Diagnosis: Liver injury Grade III
Case Discussion
The lacerations are multiple and deep more than 3 cm. The subcapsular parenchymal hematoma shows no active contrast extravasation rendering it grade III injury.