Liver laceration and pneumoperitoneum on POCUS BAT s/p MVC-unrestrained driver. RUQ pain. Good quality FAST exam windows negative. Look at detailed view (sag/trv) of RUQ. Findings? Liver laceration present. U/S has lower sensitivity for detection of solid organ injury. Patient did have trace amount of free fluid adjacent to the liver laceration but would not have been detected on a focused perihepatic window. Always look for second injury. Patient also has pneumoperitoneum from duodenal perforation. Note the presence of ringdowns (red arrow) Dr. Robert Jones @RJonesSonoEM #Liver #laceration #pneumoperitoneum #POCUS #clinical #ultrasound #trauma
