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Fig. 2A —53-year-old man with combined acute traumatic injuries to aortic root and isthmus (Reprinted with permission from Steenburg S, Ravenel J, Ikonomidis J. Blunt traumatic injury of the ascending aorta: multidetector CT findings in two cases. Emerg Radiol 2007; 13:217–221 [19]). Axial contrast-enhanced MDCT image at level of aortic isthmus shows irregular contour of anterior descending aorta (arrows) with surrounding periaortic hematoma (arrowheads) due to transection extending along ascending aorta and main pulmonary artery. Bilateral pleural effusions and atelectasis also are present.