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Fig. 1D. —31-year-old man who sustained high-speed trauma. Helical contrast-enhanced CT scan obtained using 3-mm collimation at level of aortic isthmus 5 hr after B shows focal pseudoaneurysm (arrow) of left anterolateral aortic wall. Interval changes include increase in size of mediastinal hematoma, development of left-sided pleural effusion, and progressive infiltration and atelectasis in both lower lobes.

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