CT Abdomen and pelvis
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The amount of free fluid in the peritoneal cavity is overall stable compared to the previous imaging, although there is now active haemorrhage on the lateral aspect of the spleen characterised by contrast extravasation within a subcapsular haematoma. The haemorrhage tracks down to the pelvis and mix with the ascites elevating its average attenuation. There is small volume fluid extending through a right lateral inferior abdominal wall hernia.
Multiple colonic diverticula. Bowel is otherwise unremarkable. No free gas.
The liver, pancreas, and adrenal glands are unremarkable. Multiple small calcified gallstones. Kidneys have reduced dimensions. No hydronephrosis.
There is no lymph node enlargement. No suspicious bone lesions are seen.
Small left side pleural effusion. Bilateral gynecomastia.
Ill-defined fat stranding and small subcutaneous haematoma in the anterior abdominal wall are probably related to previous catheter manipulations.