25-year-old male is brought in by ambulance. After a high speed MVA in a stolen car, he attempted to run from the police. He jumped from a 20m overpass… after which point it was fairly easy for the police to catch him.

On arrival to the emergency department he was haemodynamically stable, complaining of neck pain and right thigh pain.

Neurological exam was normal. His right thigh was tender and swollen (confirmed to be a fractured femur on x-ray).

A CT cervical spine was performed

Describe and interpret the CT

CT interpretation

An MRI was subsequently performed to help evaluate cord injury as well as ligamentous injury.

CT Case 049 004
MRI interpretation

Clinical Pearls



Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

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