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On the scout image, a left-approach soft tissue drain is visible. No pelvic fracture.
After introduction of the Foley catheter, the bladder is filled with contrast and a cystogram obtained. The bladder has a vertical "pear-shaped" configuration. The walls do not appear trabeculated and the patient did not have a history of bladder outlet obstruction. The combination of the appearance and history is compatible with bilateral mass effect on the bladder, likely from a pelvic hematoma.
On continued filling of the bladder, a small bladder neck leak reveals itself.