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RADIOLOGY: HEPATOBILIARY: Case# 33741: THORACIC AORTIC INJURY ASSOCIATED WITH A MEDIASTINAL HEMATOMA. BILATERAL PLEURAL EFFUSIONS. TWO SMALL LIVER LACERATIONS. Patient is 26 year old male status post MVA. 1. Thoracic aortic injury immediately distal to the left subclavian artery extending approximately 3 cm along the descending thoracic aorta.This is associated with a mediastinal hematoma. 2. Bilateral pleural effusions (small) as well as small right pneumothorax. 3. Two small approximately 2 cm liver lacerations as described above. 4. A moderate amount of free fluid within the abdomen (the patient has had a recent diagnostic peritoneal lavage). 5. The bowel is diffusely edematous consistent with "shock bowel.".

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Peter Anderson
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