CT - Day 5
Axial C+ arterial phase
Axial C+ portal venous phase
Axial C+ delayed
Since the previous study, there is now significant increase in size of the multiple pseudoaneurysms which are now seen throughout the spleen. The spleen itself has also increased in size. There is a moderate-sized subcapsular haematoma present with a thickness of 17 mm. The volume of intra-abdominal haemorrhage has decreased mildly.
New moderate sized left-sided pleural effusion with a mild degree of collapse/consolidation in the left lung base.
The single mildly displaced left lateral ninth rib fracture is noted.
The remainder of the study is unchanged.
IMPRESSION
Significant pseudoaneurysms present throughout the spleen with increase in size of the spleen when compared with the previous study with moderate subcapsular haematoma. Moderate volume free fluid within the pelvis which has decreased slightly.
New left-sided pleural effusion.