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Indeterminate CT Angiography in Blunt Thoracic Trauma: Is CT Angiography Enough?

Marla Sammer1, Eric Wang1, C. Craig Blackmore1,2, Thomas R. Burdick1 and William Hollingworth1,2

1 Department of Radiology, University of Washington, Box 357115, Seattle, WA 98195-7115.
2 Harborview Injury Prevention and Research Center, Seattle, WA.


Figure 1
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  		Fig. 1 —Flowchart shows subject selection. CTA = CT angiography.

 

Figure 2
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  		Fig. 2 —49-year-old man evaluated after motor vehicle collision. CT angiography image shows example of type I mediastinal hematoma (arrow) with adjacent sternal fracture (arrowhead).

 

Figure 3
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  		Fig. 3 —35-year-old man evaluated after motor vehicle collision. CT angiography image shows example of type II mediastinal hematoma (arrow).

 

Figure 4
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  		Fig. 4 —21-year-old woman evaluated after motor vehicle collision. CT angiography image shows example of type III mediastinal hematoma (arrows).

 

Figure 5
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  		Fig. 5A —21-year-old female pedestrian struck by car. CT angiography images show type IV mediastinal hematoma with hemorrhage around great vessels (arrows, A) and around aorta (arrows, B).

 

Figure 6
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  		Fig. 5B —21-year-old female pedestrian struck by car. CT angiography images show type IV mediastinal hematoma with hemorrhage around great vessels (arrows, A) and around aorta (arrows, B).

 

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