Polytrauma with hepatic lacerations and hemoperitoneum
Rollover with cabin intrusion.
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Large left pneumothorax – element of tension
Left upper lobe contusions
Tiny right sided pneumothorax
“Drop lung” on the left with complete collapse of the left lower lobe
Flail chest. Multiple bilateral rib fractures (lateral aspects 2nd-8th on the left and 3rd-8th on the right). Gas tracking along the chest wall bilaterally.
Prevertebral hematoma T8. No fracture identified
Extensive hepatic laceration involving segments 2,3,4A and 4B and extending to the porta hepatis as well as segment 8 laceration. Dilatation of the intra-hepatic biliary radicles.
Hemoperitoneum with periportal tracking.
Sentinel clot adjacent to the spleen – no splenic injury identified but highly suspected
Pancreatic head laceration. Subtle hypodensity in the body may represent a further laceration.
Retroperitoneal hematoma centered around the abdominal aorta below the level of the renal arteries – evidence of active bleeding at this site.
IVC slit like – consistent with hypovolemia
Fairly typical spectrum of injuries in a major polytrauma.
- Schueller G, Scaglione M, Linsenmaier U et-al. The key role of the radiologist in the management of polytrauma patients: indications for MDCT imaging in emergency radiology. Radiol Med. 2015 Jul 1;120(7):641-54.