Hilar liver laceration and subcapsular renal hematoma
Updates to Study Attributes
No active contrast extravasation is identified. No free intraperitoneal gas. Hypodensity is again identified at the liver hilum, straddling the portal vein bifurcation, and on the left, extending to the ligamentum teres. The main, left and right portal veins are opacified normally.
Further subtle rounded, subcapsular low density within liver segment IVb is separate from the hilum.
8 - 9mm subcapsular haematoma within the lateral aspect of the right kidney is unchanged, without a focal, visible underlying renal laceration.
L2 vertebral body crush fracture, with loss of approximately 20% anterior vertebral body height, without appreciable bony retropulsion. Fractures involve the right anterosuperior and left posteroinferior corners. Associated scoliosis convex to the left centered at L2. Non-displaced left L3 transverse process fracture. No further vertebral fracture identified.
Seatbelt distribution subcutaneous fat stranding.
Focal left posterolateral pulmonary contusion.
Conclusion:
- Liver hilar laceration (grade III) and right subcapsular renal haematoma
unchanged. - Possible further focal liver contusion at segment IVb.
- L2 vertebral body crush fracture. Left L3 transverse process fracture.
Left 8th and 9th rib fractures. - Left posterolateral pulmonary contusion.
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