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Non contrast due to renal impairment. Limited solid organ evaluation.
Large volume haemoperitoneum in perihepatic and perisplenic distribution as well as in the pelvis.
8cm heterogenous lesion in segment 6 of the liver and a 3cm segment 7 low atteunation lesion. The former is at least partially composed of acute blood.
Aorta normal calibre.
Remaining solid organs normal.
Comment: Haemoperitoneum - in the context of no trauma and intrahepatic abnormalities this is most likely related to a primary liver lesion such as HCC with spontaneous haemorrhage and capsular rupture.