This 44-year–old male sustained injury in a motor vehicle accident. Due to suspicion of intra-abdominal trauma, ultrasonography was performed. Figure 1 shows peritoneal stripe enhancement with reverberation artifact deep to the peritoneal line. This is consistent with free air within the abdomen. Adjacent to the air collection is a fluid-filled intestinal structure with a thin peritoneal stripe. As there is no interposed air between the peritoneum and the intestinal structure, there is no free air at this site.
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