Chest
- blunt traumatic thoracic aortic transection and pseudoaneurysm with an associated large volume mediastinal haematoma
- displaced right posterior 12th rib fracture
- left diaphragmatic rupture with stomach herniation into the chest
- left haemothorax and pulmonary contusions
- small right sided pneumothorax and posterior pulmonary contusions
Abdomen/Pelvis
- haemoperitoneum
- small bowel mesenteric fat stranding suspicious for a mesenteric tear (high suspicion) +/- terminal ileal injury/perforation
- fat stranding in the retroperitoneum around the left renal vascular pedicle. No evidence of active bleeding or direct vascular injury. Enhancement of the left kidney is normal.
- small subcapsular splenic haematoma (AAST Grade II)
- focal right lower renal pole poorly defined cortical hypodensity, possibly a blunt renal contusion (AAST Grade I)
- low volume IVC consistent with volume depletion
- gas with the left abdominal wall and pelvis