Contained perforation of the aortic arch posterior to the origin of the left subclavian artery. There is a large mediastinal collection of blood that results in lateral displacement of the esophagus and trachea to the right.
The left vertebral artery is not visualized.
Focal dissection with a displaced intimal flap along the right lateral aspect of the distal descending thoracic aorta without a periaortic hematoma.
Intraparenchymal hematoma within hepatic segment 4A.
Minimally displaced fractures of the bilateral ribs 4-7.