Case #3

Case #1

• Chest
  • Endotracheal tube terminates above the carina
  • Mildly dilated, fluid-filled esophagus
  • Mild ectasia of the ascending aorta measuring up to 4.2 cm in diameter
  • Mild dependent bilateral lower lobe opacities
• Abdomen/Pelvis
  • Splenic laceration > 3 cm in depth with surrounding hemoperitoneum. No evidence of active hemorrhage or pseudoaneurysm
  • Small volume perihepatic hemoperitoneum. Focal notching in the medial margin in the inferior tip of the right hepatic lobe is favored chronic
  • Scattered subcentimeter hepatic hypodensities, which are too small to characterize. Likely small calcified granuloma in segment 6
  • Bilateral subcentimeter renal hypodensities, too small to characterize
  • Gastric suction tube terminates in the gastric fundus
  • Bladder is decompressed around a Foley catheter, with gas in the bladder likely relating to instrumentation
• MSK
  • Acute fractures of the left third through tenth ribs with segmental fractures of the left seventh through ninth ribs
  • Partially imaged acute comminuted fracture of the distal left humerus with subcutaneous emphysema
  • Circumscribed lucency in the left iliac wing, which may be congenital, postprocedural, or sequela of remote trauma
  • L1 and L2 vertebral venous malformations (hemangiomas)
  • Severe S-shaped thoracolumbar scoliosis with multilevel fusion of the posterior elements

• Splenic laceration