Left renal active extravasation with massive subcapsular haemorrhage. Bleeding appears to originate from the left interpolar cortex. Blood products extend into and throughout the retroperitoneum. Mass effect and deformity of the kidney and abdominal organs.
Small area of hypodensity in the posterior gastric body which does not change on arterial and portal venous phase images, likely ingested material. Few areas of strandy enhancement along the leftward aspect of the gastroesophageal junction seen only on portal venous phase images, favoring a varix based on appearance on the coronal and sagittal reformats, less likely small venous bleed.
Subtle, nodular contour of the liver with a small number of perihepatic ascites. Trace pleural effusions with basilar atelectasis.