Non Accidental Trauma Body Imaging
Non Accidental Trauma Body Imaging
Search Pattern Assist ?History
Exam
Findings
FINDINGS
The technique is suboptimal - motion artifact, inaccurate contrast bolus, metallic artifact, etc. [Yes/No]
MEDIASTINAL WINDOWS
The thyroid is enlarged. [Yes/No]
There are focal lesions in the thyroid gland. [Yes/No]
There is aortic arch and branching abnormality. [Yes/No]
There is dissection of the aorta. [Yes/No]
The heart is enlarged. [Yes/No]
There is evidence of heart rupture. [Yes/No]
There is cardiac aneurysm. [Yes/No]
There is pleural or pericardial effusion. [Yes/No]
There is mediastinal, hilar, or axillary adenopathy. [Yes/No]
There is a small volume of residual thymic tissue which enhances homogenously. [Yes/No]
There is mediastinal hematoma. [Yes/No]
There is evidence of penetrating injury. [Yes/No]
LUNG WINDOWS
There is focal air space opacity. [Yes/No]
There is focal lucency in the lung to suggest laceration. [Yes/No]
There are signs of aspiration. [Yes/No]
The trachea/bronchi are small/large in caliber. [Yes/No]
There is intraluminal filling defect bronchus/trachea/segmental bronchi. [Yes/No]
There is pneumothorax/pneumomediastinum. [Yes/No]
There is subcutaneous emphysema. [Yes/No]
There are lung nodules/masses. [Yes/No]
BONE WINDOWS
There are fractures. [Yes/No]
There are lytic/blastic lesions. [Yes/No]
HEPATOBILIARY
There are focal hepatic lesions-laceration/hematoma in the left lobe/right lobe. [Yes/No]
There is soft tissue/hematoma in the liver hilum/porta. [Yes/No]
There is periportal hypodensity. [Yes/No]
There is intrahepatic biliary ductal dilatation. [Yes/No]
The CBD is dilated. [Yes/No]
There is pseudoaneurysm in the liver. [Yes/No]
There is subcapsular hematoma. [Yes/No]
There is arterial blush in the liver parenchyma. [Yes/No]
There is contrast extravasation on the delayed images. [Yes/No]
Gallbladder is distended. [Yes/No]
There is fluid in the gallbladder fossa. [Yes/No]
LIVER INJURY SCALE
There is a grade I - V liver injury per the 2018 AAST Liver Injury Scale. [Yes/No]
PANCREAS
There is hypodensity/hematoma in the pancreas. [Yes/No]
There is fluid/hemorrhage in the lesser sac. [Yes/No]
The pancreatic duct is dilated. [Yes/No]
There is heterogenous fluid collection/collection with fluid fluid level in the pancreas. [Yes/No]
There is peripancreatic collection. [Yes/No]
There is pancreatic transection/laceration. [Yes/No]
The peripancreatic fat shows infiltration. [Yes/No]
The pancreas is enlarged/small. [Yes/No]
The pancreas is hyperenhancing. [Yes/No]
PANCREATIC INJURY SCALE
There is a grade I - V pancreatic injury per the 2018 AAST Pancreatic Injury Scale. [Yes/No]
SPLEEN
The spleen is enlarged. [Yes/No]
There is focal lesion (contusion/hematoma/laceration) in spleen. [Yes/No]
There is pseudoaneurysm in the spleen. [Yes/No]
There is subcapsular hematoma. [Yes/No]
There is arterial blush in the splenic parenchyma. [Yes/No]
There is contrast extravasation on the delayed images. [Yes/No]
There is decreased perfusion to the spleen. [Yes/No]
SPLEEN INJURY SCALE
There is a grade I - V spleen injury per the 2018 AAST Spleen Injury Scale. [Yes/No]
ADRENALS
The adrenal gland is enlarged (right or left). [Yes/No]
There is hypodense mass in the adrenal gland. [Yes/No]
The adrenal glands are hyperenhancing. [Yes/No]
KIDNEYS/URETERS
There is renal contusion/laceration/hematoma. [Yes/No]
There is subcapsular hematoma. [Yes/No]
There is retroperitoneal/perinephric collection. [Yes/No]
There is arterial/venous extravasation in renal parenchyma. [Yes/No]
There is vascular injury (vascular disruption/thrombosis). [Yes/No]
On delayed imaging, there is contrast extravasation from the collecting system. [Yes/No]
The perfusion to the kidneys is increased/decreased. [Yes/No]
There is persistent ureteral enhancement. [Yes/No]
RENAL INJURY SCALE
There is a grade I - V renal injury per the 2018 AAST Renal Injury Scale. [Yes/No]
PELVIC ORGANS/BLADDER
There are focal lesions in the ovaries/uterus/prostate. [Yes/No]
The urinary bladder is collapsed. [Yes/No]
There is contrast extravasation from the bladder into the soft tissues on delayed imaging. [Yes/No]
There is contrast extravasation from the bladder into the peritoneal space on the delayed images. [Yes/No]
There is a filling defect in the bladder. [Yes/No]
The bladder was is thickened. [Yes/No]
PERITONEUM
There is free fluid/hemorrhage in the peritoneum. [Yes/No]
There is free/loculated air. [Yes/No]
LYMPH NODES
There is intraabdominal/retroperitoneal/mesenteric/pelvic adenopathy. [Yes/No]
VESSELS
There is dissection of aorta. [Yes/No]
There is active extravasation of contrast from aorta. [Yes/No]
Aorta is small in size. [Yes/No]
IVC is small in caliber. [Yes/No]
IVC is hyper enhancing. [Yes/No]
There is hypodensity around the IVC. [Yes/No]
GI TRACT
There is focal wall thickening/hematoma/intramural hematoma-duodenum/jejunum. [Yes/No]
There is bowel obstruction. [Yes/No]
There is focal mesenteric stranding/hematoma. [Yes/No]
There is bowel perforation. [Yes/No]
There is leakage of oral contrast. [Yes/No]
There is focal ileus. [Yes/No]
There is focal decreased bowel enhancement. [Yes/No]
There is diffuse bowel wall thickening. [Yes/No]
There is diffuse bowel wall enhancement. [Yes/No]
SOFT TISSUES
There are foreign bodies. [Yes/No]
There is laceration of the soft tissue. [Yes/No]
There is anterior abdominal wall contusion/seat belt sign. [Yes/No]
Recommendations
2. No evidence of NAT.
3. Multiple traumatic injuries. Consider NAT.