Findings
Chest
- Mild dependent atelectasis
- Several partially calcified mediastinal lymph nodes
Abdomen/Pelvis
- Complex hepatic laceration measuring 6 cm in depth predominantly involving hepatic segments 2 and 3 without evidence of active hemorrhage
- Complex laceration involving the superior pancreatic body with surrounding parenchymal contusion
- Adjacent hemorrhage with a small contrast attenuation focus which enlarges on delayed phase images
- Moderate volume of hemoperitoneum, primarily in the lesser sac, perihepatic space, and subhepatic space
- Scattered interloop fluid in the jejunal mesentery
- Cholelithiasis
- Left kidney is absent
MSK
- Mildly displaced left lateral fifth through ninth rib fractures
- Right posterior wall acetabular fracture with a displaced bone fragment in the right hip joint and right hip joint effusion
- Hips are located
- Remote healed left scapular fracture
Diagnosis
Hepatic and pancreatic lacerations
Sample Report
Complex laceration involving the superior pancreatic body with surrounding parenchymal contusion and adjacent hematoma in the anterior pararenal space and lesser sac with small focus of active hemorrhage. Given extensive involvement of the pancreatic body, a pancreatic duct injury is not excluded.
Complex left hepatic lobe laceration measuring 6 cm in depth without evidence of active hemorrhage at this location. Moderate volume surrounding hemoperitoneum.
Scattered interloop fluid in the jejunal mesentery raises concern for mesenteric injury.
Mildly displaced left fifth through ninth rib fractures without pneumothorax or pleural fluid collection.
Right posterior wall acetabular fracture with a displaced bone fragment in the right hip joint and right hip joint effusion. Hips are located.
Discussion
References