10 year old DSH

Findings

THORAX There is soft tissue opacification of the right hemithorax. There are irregular gas opacities within the soft tissues of the right hemithorax. The trachea and carina appears displaced to the left. The cardiac silhouette is difficult to evaluate. In the viewable cranial abdomen, the stomach and liver are not identified.

PELVIS Multiple fracture lines and fracture fragments are present within both hemipelves. A metallic screw is present across the left sacroiliac joint. A pin is in the region of the right sacroiliac joint and may be entering the spinal canal. An additional pin spans the ilial wings. An anchor is noted in the region of the left femoral neck. There is a large bony callus emanating from the right coxofemoral joint impinging into the pelvic canal. An angular osseous fragment is noted cranioventral to the pubis.