MRI Chest Without and With IV Contrast There is no relevant literature regarding the use of MRI chest without and with IV contrast only for initial evaluation of patients with penetrating torso trauma. MRI Chest Without IV Contrast There is no relevant literature regarding the use of MRI chest without IV contrast only for initial evaluation of patients with penetrating torso trauma. Penetrating Torso Trauma Radiography Trauma Series Penetrating trauma occurring outside of the thoracoabdominal zones and the cardiac box maybe sufficiently imaged with radiography in clinically stable patients [51]. Normal radiographic appearance of the chest does not preclude significant thoracic trauma that may require procedural or surgical intervention [50]. Variant 7: Adult. Nonballistic penetrating torso trauma, limited to abdomen and pelvis, normotensive. Initial imaging. FAST can help triage patients and direct initial bedside and surgical procedures. Hemopericardium, pneumothorax, and free intraperitoneal fluid discovered at FAST have significant implications on next steps in management of the patient. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. The addition of a noncontrast phase adds radiation exposure to the patient and may delay definitive diagnosis and typically does not provide additional information pertinent to penetrating trauma [31]. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma. Although noncontrast CT may be helpful in determining trajectory, demonstration of internal injuries, specifically solid organs, is much more apparent with IV contrast.
Penetrating Torso Trauma. MRI Chest Without and With IV Contrast There is no relevant literature regarding the use of MRI chest without and with IV contrast only for initial evaluation of patients with penetrating torso trauma. MRI Chest Without IV Contrast There is no relevant literature regarding the use of MRI chest without IV contrast only for initial evaluation of patients with penetrating torso trauma. Penetrating Torso Trauma Radiography Trauma Series Penetrating trauma occurring outside of the thoracoabdominal zones and the cardiac box maybe sufficiently imaged with radiography in clinically stable patients [51]. Normal radiographic appearance of the chest does not preclude significant thoracic trauma that may require procedural or surgical intervention [50]. Variant 7: Adult. Nonballistic penetrating torso trauma, limited to abdomen and pelvis, normotensive. Initial imaging. FAST can help triage patients and direct initial bedside and surgical procedures. Hemopericardium, pneumothorax, and free intraperitoneal fluid discovered at FAST have significant implications on next steps in management of the patient. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without and with IV contrast for initial evaluation of penetrating torso trauma isolated to the chest. The addition of a noncontrast phase adds radiation exposure to the patient and may delay definitive diagnosis and typically does not provide additional information pertinent to penetrating trauma [31]. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature regarding the use of CT abdomen and pelvis without IV contrast for initial evaluation of penetrating torso trauma. Although noncontrast CT may be helpful in determining trajectory, demonstration of internal injuries, specifically solid organs, is much more apparent with IV contrast.