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Traumatic Aortic Injury

Imaging findings

Radiograph showed a layering left pleural effusion (hemothorax) and loss of the aortopulmonary window. CT confirmed a large mediastinal hematoma and direct aortic injury.

Key takeaways

In the setting of trauma, findings such as apical caps and displaced mediastinal structures are highly suggestive of aortic injury, even when the hemothorax is layering.

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