Case #11 Radiologic Findings:

  1. Left pneumothorax (not visible with these windows)
  2. Atelectasis in the right and left lower lobes
  3. Bilateral pleural effusions (R>L).
  4. Large laceration of the posterior right liver lobe is seen with irregular extension into part of the right anterior lobe, reflecting hepatocellular damage that accounts for her elevated AST.
  5. Small regions of hypoattenuation within the spleen suggests splenic laceration and/or contusion.
  6. No damage to the kidneys or adrenal glands is seen, but the small fluid collection by the head of the pancreas may reflect some degree of pancreatic injury, consistent with her mildly elevated amylase level.

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  1. There is no abdominal free air; however, fluid within the abdomen and pelvis extends into both the intraperitoneal and retroperitoneal space and contains scattered high density material consistent with hemoperitoneum.
  2. High attenuation material in the bladder forming a fluid-fluid layer with excreted contrast, as well as an air-fluid level, is suggestive of bleeding into the bladder.
  3. A collection of stool, contrast, and air are present in the distended rectum.

 

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