The left lower zone density on the chest x-ray was initially regarded as a hemothorax and a chest drain inserted accordingly; this was then removed prior to the CT scan as no output was obtained and underlying contusions were felt more likely, after cardiothoracic input.
The patient underwent conservative management for all of the injuries, requiring high flow oxygen therapy and an epidural injection for additional pain control. ECG and serial echocardiograms within normal limits. He survived the ordeal and is now an interventional radiologist, as well as fervid Radiopaedia supporter! He has not been on a motorcycle ever since.