There is crescent shape filling defect at the level of the sinotubular junction on the anteromedial wall of ascending aorta, mostly consistent with thrombosed falls lumen. Also, there is a large volume of pericardial fluid and compression of cardiac chambers, mostly consistent with ruptured wall and cardiac tamponade. There is no active extravasation. Ascending aorta is dilated measuring 4.2cm.
There is contras reflux to the IVC and azygos system.
Coronary arteries originate from normal location and have no any filling defects.
There is no mediastinal hematoma or hemothorax.
The rest of arteries are fully opacified, calcified plaques are noted in the aortic arch, splenic artery, infrarenal aorta and iliac arteries.