CT - Day 1
Axial C+ portal venous phase
Axial C+ delayed
Axial bone window
Coronal C+ portal venous phase
Coronal bone window
Small splenic lacerations.
Extensive left pelvic fractures: displaced communited sacrum, anterior subluxed pubic body, inferior pubic ramus, buckling of superior pubic ramus.
Large amount of extraperitoneal blood products in pelvis, left retroperitoneum, and along the course of left ureter. Right ureter and pelvis are minimally dilated.
Bladder suboptimally evaluated.
Left flank subcutaneous hematoma.
Delays: Persistent right nephrogram with minimal contrast in the calyces. Left kidney has expected excretion of contrast with enhancement than the right. Blood products tracking up from the pelvis surround the left ureter but do not result in obstruction.