Subcapsular liver haematoma
High speed motor vehicle collision; ejected from vehicle.
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Liver (segment 7) subcapsular area, measuring 6mm in depth. It has HU density of 55, in keeping with haematoma. No overlying rib fracture.
Minimal free fluid in the pouch of Douglas.
The spleen, kidneys (apart from right superior pole cortical scar), pancreas, duodenum, GB/bile ducts adrenals have normal appearances.
The pelvic organs are normal. Bladder catheter. No free gas.
This is an example of an AAST Grade 1 liver injury - it is small (< 10% of liver) and shallow (< 1 cm).