Traumatic Splenic Hematoma on LUQ FAST Exam 31 yo M. Minor blunt trauma from bicycle accident. No obvious injury on exam. FAST performed shows a large amount of complex free fluid - but look closely, hyperechoic hematoma in splenic parenchyma (LUQ). Grade 4 spleen fracture! CT for comparison. Eric Abrams, MD @eabramsMD #Splenic #Hematoma #Spleen #Fracture #LUQ #FAST #Exam #Clinical #Ultrasound #Trauma #POCUS