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Fig. 6. —21-year-old man after motor vehicle crash. Transverse contrast-enhanced multidetector CT image through upper abdomen shows grade V splenic injury (completely shattered spleen). Focal high-density area of extravasated contrast material (long arrow), indicating hemorrhage (type 1), can be seen in posterior part of shattered spleen. In addition, perisplenic and perihepatic hematoma is visible. Submuscular air (short arrows) is present along right abdominal wall.

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