Liver laceration - AAST grade V

Large irregular liver laceration involving all four segments of the right lobe of the liver. The laceration extends to both superior and inferior right hepatic veins, and around the right portal vein. A small contrast blush seen at the medial aspect of the laceration in segment 7, and increases in size on delayed phase imaging, consistent with active bleeding. There is a small associated subcapsular hematoma extending into the right paracolic gutter. The portal and hepatic veins remain patent. Free fluid in the pelvis is low density, likely simple fluid and unrelated. No pneumoperitoneum. No traumatic right renal or adrenal injury.