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The liver contains no focal lesions. The portal and hepatic veins are opacified. The spleen is enlarged and measures 15.5 cm in maximum superoinferior span. It has a heterogeneous enhancement pattern which probably represents a perfusion artefact due to the splenic enlargement. No perisplenic fluid collection.
The gall bladder, pancreas, adrenal glands are normal. There are small cortical cysts in the kidneys. The aorta is normal. No para-aortic or pelvic lymphadenopathy. No free intraperitoneal fluid or gas.
There are displaced fractures of the right superior and inferior pubic rami and a comminuted intra-articular fracture of the right sacral ala involving the right sacroiliac joint. There is stranding in the soft tissues surrounding the right pubic ramus fractures there is thickening of the surrounding muscles as well as fat stranding at the right inferolateral margin of the bladder. No large intrapelvic collection. No displaced thoracolumbar spine fracture. There is an intramedullary nailin situ within the proximal left femur.
- Splenic enlargement with heterogeneous post-contrast enhancement the spleen, probably due to the splenic enlargement. No perisplenic fluid collection. No other upper abdominal traumatic injury.
- Pelvic fracture with swelling of the soft tissues around the pubic rami fracturesand perivesical fat stranding but no large intrapelvic fluid collection.