History: trauma. MVA. (trauma service comes right over from the scanner)
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This is kind of a difficult thing to show and the motion doesn’t help. But it looks like a lot of folks caught on to what I was trying to show - the aorta. I bet the coronals will help. Check out that proximal medial wall of the descending aorta (ie the most common site of injury)
How about the angio:
Yep. Traumatic aortic injury - ie traumatic pseudoaneurysm of the aorta (or as I find more anxiety inducing: contained aortic rupture)
Examine this site on everyone! As you can see in the angio, they placed a graft and the patient was doing well last I checked.
There is a ton of information out there about traumatic aortic injury and has evolved over the past few years.