CXR | Elevated appearance of the aortic knob likely reflecting tortuosity as the margins appear well defined; lungs and pleural spaces are grossly clear; no displaced fractures; no subcutaneous gas or radiopaque foreign body. |
CT of the head | Left subdural hematoma causing mild subfalcine herniation toward the right bilateral subarachnoid hemorrhage and bifrontal cerebral contusions, extensive pneumocephalus. Multiple mid-face fractures including left zygomaticomaxillary complex, bilateral frontal bone fractures involving anterior and posterior tables, bilateral anterior nasal spines, and bilateral anterior and lateral maxillary wall fractures; no ocular injury.
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CT of the chest | Air is present in the right ventricle and within the main pulmonary artery, a risk for air embolism. Non-displaced left anterior fourth and seventh rib fractures, minimally displaced left anterolateral fifth and sixth rib fractures, no right-sided rib fractures.
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