Anushka Patchava MBBCHIR, BSC, Presenter: Nothing to Disclose

Amanda Isaac MBChB, FRCR, Abstract Co-Author: Nothing to Disclose

Mohammad Daneshi MBBS, Abstract Co-Author: Nothing to Disclose

Duncan Bew, Abstract Co-Author: Nothing to Disclose

Lisa Marie Meacock MBBS, Abstract Co-Author: Nothing to Disclose

* The diagnosis of diaphragmatic injuries following penetrating thoraco-abdominal trauma can be challenging. * Direct computed tomography (CT) signs of injury are infrequent and in small defects CT imaging may be non-diagnostic. * Highlight diaphragmatic anatomy and areas susceptible to penetrating trauma. * Illustrate and review the direct and non-direct signs of diaphragmatic injury, using cases of surgically confirmed diaphragmatic injury. * Discuss how vectors of force and imaging clues facilitate a diagnosis of diaphragmatic injury. * Consider the role of adjuncts in CT imaging, for example the use of intra-pleural contrast.

* Background/Context: Diaphragmatic anatomy and susceptibility to trauma. * Patient group: Cases of surgically confirmed diaphragmatic injury from our level one trauma centre registry. * Purpose: Pictorial review of the direct and indirect radiological signs of diaphragmatic injury. * Discussion: Factors that help in the recognition of diaphragmatic injuries including vectors of force, trajectory mapping, common associated injuries and adjuncts to CT imaging. * Summarise: A checklist which highlights the common review areas to consider when assessing for diaphragmatic injuries.

http://abstract.rsna.org/uploads/2014/14018644/14018644_oar2.pdf

Patchava, A, Isaac, A, Daneshi, M, Bew, D, Meacock, L, Imaging Techniques in the Acute Assessment of Suspected Penetrating Diaphragmatic Injury: A Pictorial Review.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018644.html