Contrast-enhanced CT with an axial bone window of the chest.The orange arrow points to subcutaneous emphysema. The purple arrow points to bilateral hemorrhagic pleural effusions. The pink circle highlights the right costovertebral junction, right pedicle, and left lamina of T6 that is completely shattered. The yellow arrow points to hemorrhagic material in the spinal cord with punctate foci of gas.CT: computed tomography