Stab wound with active extravasation
50 yo F stabbed with a butchers knife. Multiple stab wounds. Routine CT shows subtle extravasation of contrast inferior to the scapula.
This is much more obvious on the 40 keV image. Note absence of density on virtual non-contrast confirms this is a iodine extravasation and not a foreign body or bone fragment.
I have found 40 keV images to be very helpful to confirm contrast extravasation in trauma.