 Hello everybody, I am Dr. Manali Muthar, junior resident in the Department of Radio Diagnosis Dr. Vithal Rao, VK Party Foundation, Medical College and Hospital in Ayurveda Nagar. I will be presenting a paper on assessment of blunt abdominal trauma through CT imaging a comprehensive review. The aim of this study is to study the case of abdominal trauma in context of age of sex distribution, mode of injury that is accident, fall, assault, etc., clinical presentation, role of investigation, organ involvement and associated injuries. The third most prevalent cause of mortality regardless of age is still trauma. Clinical findings are often unreliable and have low sensitivity for diagnosis of intraperitonal injuries following blunt trauma. Ultrasound may be used as an initial diagnostic modality for suspected blunt abdominal trauma. CT is accurate in detection and quantification of hemoperitonium and more sensitive in detection of solid organ injury which is useful in management of most patients. Helical CT is the best diagnostic modality in providing information at the same time it takes for a complete USG abdomen. CT is the sole modality for hemodynamically stable patients with blunt abdominal trauma or patient who stabilizes after initial resuscitation. CT has become imaging of toys in patients with blunt abdominal trauma due to high accuracy in abdominal visceral injuries and retroperitonal injuries in hemodynamically stable patients. Materials and method, the study of 50 cases of blunt abdominal trauma was conducted prospectively during the period of 7 months from December 2022 to June 2023 in Dr. Vithal Rao V.K. Parthir Foundation's Medical College and Hospital, Ahmednagar. Patients of all age and sex who were referred to our department after blunt abdominal trauma were potential candidate for enrollment in this study. Inclusion criteria included clinical suspicious of intraabdominal injury, hemodynamically stable patients, multi-trauma patients. The inclusion criteria was a clinical suspicious of intraabdominal injury, hemodynamically stable and multi-trauma patients. Exclusion was all that's on arrival. Philips 16 slice CT machine was used. The technique was CT, abdomen was performed with Philips 16 slice CT equipment for intravenous contrast enhancement, non-ionic water soluble iodinated contrast IOXOL was given in the dose of 1 ml per kg. A pitch of 2 and a reconstruction interval of 1.5 to 2 mm were used as the scanning technique. For few cases, an enhanced study was done prior to the contrast study with delayed incorporated whenever there was a suspicious kidney or urinary tract injury. Individual organ injuries were created according to the American Association for the Surgery of Trauma Injury Scale. The results are first the age by distribution. In less than 10 years, there was only one case was recorded from 11 to 27. From 21 to 30, 20 cases were recorded from 31 to 40, 16 and from 41 to 53 cases from 51 to 62 cases were recorded. And from over the age more than 60 years, a single case was recorded. So the maximum cases were recorded in the age group of 21 to 30 and 31 to 40 years. This is the sex wise distribution which shows that there was a male predominance as compared to the female. The male accounting for the 84% and the female accounting for only 16%. The mode of injury first the road traffic accident, they were maximum that was about 56% followed by fall which was 22% and then assault 18% and the least common were the road traffic accident. This is the other bar diagram showing the mode of injury. The clinical presentation that were considered abdominal pain, abdominal distension, vomiting, hypertension that was systolic BP less than 100, tachycardia that is pulse more than 100, hematuria, breathlessness and chest pain. The number of cases maximum had the complaint of abdominal pain. And then as well as tachycardia followed by abdominal distension and hypertension. The similar bi diagram showing that maximum people presented with abdominal pain and tachycardia and then the abdominal distension. This is a bar, the pie chart showing the organ involvement. The single organ involvement were maximum that was 64% and that of the multiple organ injury was 28% and no organ injury was 8%. Then the distribution with hemoperitonium, the visceral injuries with hemoperitonium were 34, without hemoperitonium were three and isolated only hemoperitonium without any injury were nine. The distribution of visceral injuries for the maximum visceral injuries that were observed was clean that were 24 followed by liver that was 14 and then renal. Then the CT grading of the solid organ was done that was a grade one, two, three, four, five on the basis of the American Association of the trauma. Then associate injuries were also noted. The maximum associated injuries were with the extremity there followed by the thoracic thoracic and this is the axiol and the coronal CT showing hypodense areas in the hypodense areas in the screen, which are consistent with the splinic laceration, the NCCT and the CECT showing the capsular hematoma in the screen, the CT showing a hypodense area in the head of the pancreas and the subsequent CT scan reveal the presence of a psotosis formation of the in the head of the pancreas. These the CECT showing irregular linear, low attenuating area in the liver consistent with the lacerations and the CT showing the grade two renal injury. The discussion, the difficulty in imaging abdominal trauma is to distinguish between injuries that need immediate surgical intervention and tools that may be treated conservatively. In this study, the youngest patient was eight year old and the oldest was 65 year old. The abdominal trauma is more common in age group of 21 to 30 that was about 40% and followed by 32% in the age range 31 to 40 years. RTA being the most common cause followed by the fault and assault. Abdominal pain, tachycardia and abdominal distension are the most common clinical features in all abdominal pain. Abdominal trauma patients presence of these signs and symptoms for its immediate attention from primary system and timely definitive treatment are abdominal trauma. In my study pattern of injury, the pattern of injury are spleen for is the most common followed by the liver in polytrauma patients. Abdominal trauma is more commonly associated with extremity injuries. These are my references.