Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 8 year old (school age) male with a history of trauma. Exam CT CHEST AND ABD PELVIS PED W/IVCON Prior Study Dicom View Reference Material
Section 1 Submit Findings CB1514 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 LIVER INJURY SCALE There is a grade I - V liver injury per the 2018 AAST Liver Injury Scale. 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 PANCREATIC INJURY SCALE There is a grade I - V pancreatic injury per the 2018 AAST Pancreatic 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 SPLEEN INJURY SCALE There is a grade I - V spleen injury per the 2018 AAST Spleen 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 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 RENAL INJURY SCALE There is a grade I - V renal injury per the 2018 AAST Renal Injury Scale. 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 N/A The perfusion to the kidneys is increased/decreased. Yes No There is persistent ureteral enhancement. Yes No N/A 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