CT
Axial non-contrast
Axial C+ arterial phase
Axial C+ portal venous phase
On the non-contrast phase study, we can see around 15 mm thick pericardial fluid, which is slightly hyperdense. The aorta has a normal diameter; the wall is sclerotic. It is visible that the contrast material exits through the ruptured left ventricle into the pericardium on the arterial phase.