H/o Road Traffic Accident, Middle aged male, with maintained SpO2 and Blood Pressure.
The following plain CT sections show Hematoma involving right diaphragmatic crus with marked enlargement compared to the contralateral side. Hyperdensities s/o blood clots are noted within the hematoma. Mild amount of bilateral retroperitoneal hemorrhage was seen, with associated mild perinephric hemorrhage.
The following 3 images, shows the serial axial section during PLAIN / Non-contrast CT, Arterial Phase (25sec) and during Portal Venous Phase (60secs) respectively. Images demonstrate small area of contrast extravasation from the lateral margin of abdominal aorta, with minimal increase in the portal phase --> s/o an Active Arterial Hemorrhage.
These serial 5 images that follow, shows pooling of contrast in the 5 minute delayed images. Areas of contrast pooling are marked with large red arrows.
There was also a small anterior cortical laceration of right kidney.
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