Fig. 2

a Chest X-ray AP view. Right sided hemothorax, right lateral pneumothorax and subcutaneous emphysema. b Pelvic AP view. Widening of right sacroiliac joint with right sacral fracture and vertical shift (potential vascular injury), bilateral superior inferior pubic rami fracture (risk for bladder injury), left acetabular fracture. c Subxiphoid view of the heart (2D). Large pericardial effusion causing tamponade. d Right thoracic view at the diaphragm with a right hemothorax. Thoracic spine visualized above the diaphragm (spine sign). Normally, the thoracic spine is obscured by air within the lung. D diaphragm, HT hemothorax, L liver, LV left ventricle, PE pericardial effusion, PT pneumothorax, RV right ventricle, SE subcutaneous emphysema, SI sacroiliac joint, SS spine sign, T thrombus, TS thoracic spine