PMC4845410_01
Case 1 - CT Coronal 'Scanogram' - reduced pelvis
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F1
His initial CT scan reported his injuries as bilateral lung contusions, a left L5 transverse fracture, left lower rib fractures, some soft tissue swelling on the anterior abdominal wall along the right lateral pelvis with no abdominal bleed, no pelvic bony injury (Figs. 1a, 1b and 1c) and no solid organ damage.
Case 1 - Pubic symphysis CT Axial in Binder
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F2
A pelvic radiograph was performed (Fig. 2) that showed diastasis of the pubic symphysis with an open sacroiliac joint on the left.
Case 1 - Pubic symphysis CT Axial in Binder.
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F3
His initial CT images were reviewed and a repeat pelvic CT was performed, which confirmed the radiographic findings (Figs. 3a and 3b).
PMC4845410_02
Case 1 - AP pelvic radiograph out of Pelvic Binder
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F4
T6. The worst was at the level of T6 with extensive damage to the pedicles and intervertebral discs. The CT was reported as no solid organ damage, vascular damage nor pelvic bony injury (Figs. 4a and 4b).
Case 1 - CT Axial showing Pubic symphysis out of Binder
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F5
Plain pelvic radiography showed this widening with a widened left sacroiliac joint (Fig 5); injuries that were missed on his initial assessments.