e-FAST Exam at the Left Upper Quadrant

A 61-year-old male was brought to the emergency department after being involved in a road traffic accident. The patient was anxious. No significant past medical history. Multiple bruises were seen on the chest and abdomen. A quick e-FAST exam was performed on the patient. The following view was obtained in the left upper quadrant of the abdomen. What is the most likely diagnosis? A. Hemothorax B. Perisplenic free fluid (most likely hematoma) only C. Splenic rupture with subcapsular hematoma and perisplenic free fluid (most likely hematoma)

A 61-year-old male was brought to the emergency department after being involved in a road traffic accident. The patient was anxious. No significant past medical history. Multiple bruises were seen on the chest and abdomen. A quick e-FAST exam was performed on the patient. The following view was obtained in the left upper quadrant of the abdomen.

What is the most likely diagnosis?

A. Hemothorax
B. Perisplenic free fluid (most likely hematoma) only
C. Splenic rupture with subcapsular hematoma and perisplenic free fluid (most likely hematoma)

Image courtesy of UltrasoundCases.info owned by SonoSkills.

You May Also Like