CT was performed 12 hours following the biopsy:
- There is a mixed-density crescentic collection indenting the lateral margin of the spleen, in keeping with a subcapsular haematoma.
- A hypodense tract can be seen extending through the spleen.
- On the arterial phase study, a tiny blush is evident within the posterior spleen, without expansion on the portal venous phase CT.
- Fluid is present within the anterior pararenal space and there is fatty stranding surrounding the pancreatic tail.
- Moderate volume high-density fluid (blood) within the pelvis and left paracolic gutter.
- Background hepatic steatosis. Small left pleural effusion.
The patient's serum lipase was elevated.