The NASS/CDS formed the initial basis for investigating the vehicle damage patterns associated with serious chest injuries suffered by belted occupants in far-side rollovers. MAIS 3 or 4 lung contusions were the most frequent severe chest injury. Unilateral left and right lung contusions and bilateral lung contusions were all observed in the population of injured occupants. The lung injury sources most frequently designated by the NASS investigators were the side interior and the shoulder belt. The crash tests and simulations indicated that ground impact with a lateral component produced roof and front fender damage patterns like those observed in cases with chest injuries. The observed damage patterns suggested the following as possible sources of injury causing environments for belted drivers: (1) lateral loading the roof pillars and left front fender during the third and possibly the seventh quarter-turn, and (2) rebound loading induced by the suspension system during the fourth or eight quarter- turn. Other mechanisms may also be possible in complex rollovers.