Traumatic aortic injury with small renal infarct
Restrained driver in high speed car accident.
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Intimal flap visible within the descending aorta at the level of the aortic isthmus. No intramural or periaortic hematoma. A region of wedge-shaped hypodensity is seen in the right renal lower pole consistent with an infarct. Subcutaneous seat belt bruising is evident.