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CT cystography shows extravasation of contrast to the right anteroinferior aspect of the bladder, with contrast tracking through the pubic diastasis into the scrotum and along the pelvic sidewalls, and medial compartment of the left thigh as well as lower abdominal subcutaneous ragion. A small amount of contrast is also extravasated intraperitoneally in the left para-colic gutter.
Left-sided sacral ala and right-sided pubic rami fractures are seen.