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Portal venous phase volume acquisition through the abdomen and pelvis has been obtained.
The liver, spleen, adrenal glands, kidneys and pancreas are unremarkable. No traumatic bowel injury identified. No free intra-abdominal fluid or air identified.
Soft tissue stranding is seen in the anterior and lateral pelvic subcutaneous tissues.
CT Thoracic and Lumbar spine:
Reformats of the lumbar spine in both sagittal and coronal as well as axial images have been reviewed.
Fracture through the superior endplate of L2 with minor loss of vertebral body height. No retropulsion of fracture fragments. Undisplaced fracture extending through the spinous process and left inferior articular facet. No widening of the L1/2 intervertebral disc space. Subtle widening of the L1-2 interspinous space.
Fracture through the superior endplate of L2 and undisplaced fracture through the spinous process extending into the left inferior articular facet of L1. The pattern of injury is that of a chance-type injury. An MRI could help further evaluate ligamentous injury.