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Ruptured spleen with multiple foci of active bleeding; although the post-contrast scan was done during the early portal phase, it is safe to assume that much of the foci represent arterial bleeding. The relatively well-defined zone of rupture is suspicious for a hemorrhagic mass.
Copious amount of free intraperitoneal blood, with areas of clotting, notably anterior to the spleen (as is expected) and above and immediately to the right of the distal sigmoid colon.