A 30-year-old female is brought into emergency following a high speed motor vehicle accident (MVA).

She required intubation on scene with her GCS falling rapidly from 13 to 8.

On arrival vital include HR 130, SBP 116/70

A CXR is taken in the resuscitation bay


Describe and interpret the CXR

Urgent CT angiography is requested

Describe and interpret the CT chest
Clinical Pearls

References

TOP 100 CT SERIES


Dr Jenni Davidson LITFL Author

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).

Dr Parvathy suresh kochath LITFL Author

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

Dr Georgina Beech LITFL Author

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 LITFL Author 2

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

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