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CT of the abdomen demonstrates a large infrarenal saccular aneurysm of the abdominal aorta projecting towards the left with 81mm in AP diameter with a length of 75mm. Much of the lumen is filled with thrombus, with contrast passing into the thrombus at the superior margin of the aneurysm, in close proximity to the outer wall. Although no contrast extravasation can be identified, extensive hyperdense fluid is present in the retroperitoneum, posterior to the aneurysm.
The left kidney demonstrates hydronephrosis and reduced enhancement of the cortex, with distortion and compression of the renal vessels.