Imaging in blunt @entity299 : Computed tomographic findings in XXXX and associated injuries.

@entity1 @entity296 @entity174 @entity299 @entity130
BACKGROUND: Blunt @entity299 (BCI) may manifest as @entity299 or, more rarely, as pericardial or @entity296 . Computed tomography (CT) is performed in the vast majority of @entity130 @entity1 , but the imaging features of @entity299 are not well described. PURPOSE: To evaluate CT findings and associated injuries in @entity1 with clinically diagnosed BCI. MATERIALS AND METHODS: We identified 42 @entity1 with blunt @entity299 from our institution's electronic medical record. Clinical parameters, echocardiography results, and laboratory tests were recorded. Two blinded reviewers analyzed chest CTs performed in these @entity1 for @entity296 and associated injuries. RESULTS: CT findings of severe thoracic @entity130 are commonly present in @entity1 with severe BCI; 82% of @entity1 with ECG, cardiac enzyme, and echocardiographic evidence of BCI had abnormalities of the heart or pericardium on CT; 73% had anterior rib @entity174 , and 64% had pulmonary contusions. Sternal @entity174 were only seen in 36% of such @entity1 . However, @entity296 on CT is poorly sensitive for those @entity1 with @entity299 : 0% of right ventricular contusions and 22% of left ventricular contusions seen on echocardiography were identified on CT. CONCLUSION: CT signs of severe thoracic @entity130 are frequently present in @entity1 with severe BCI and should be regarded as indirect evidence of potential BCI. Direct CT findings of @entity296 , i.e. @entity296 , are poorly sensitive and should not be used as a screening tool. However, some left ventricular contusions can be seen on CT, and these @entity1 could undergo echocardiography or cardiac MRI to evaluate for wall motion abnormalities.
