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Fig. 4. —36-year-old man after car crash. Abdominal CT scan obtained
after IV injection of contrast medium shows representative pitfall of CT for
diagnosis of blunt diaphragmatic rupture. Extensive splenic contusion and
massive hemoperitoneum are evident. Left subphrenic hematoma (arrows)
simulates diaphragmatic thickening. Linear extravasation of contrast material
is seen in contact with diaphragm (arrowheads). This patient was
diagnosed as having, or was suspected of having, left-sided blunt
diaphragmatic rupture by all reviewers. At surgery, no diaphragmatic rupture
was found.
