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Axial portovenous phase images reveal a large large fluid collection in the right anterior perirenal space and the hepatorenal space. Small amount of fludi in the right paracolic gutter and a small right pleural effusion.
Delayed images reveal a connection between this fluid and the upper calyx. The collection filled gradually with contrast, indicating a urine leak.
The pelvic images show a pre-sacral hematoma and bone window images show a sagittaly oriented right sacral ala fracture with small detached fragment.
Diagnosis: Post traumatic urinoma