CT does not show any free intraperitoneal gas.
Comminuted fracture involving the left acetabulum extending from the superior ramus of the pubis to the ala of the ilium. There is also a minimally displaced fracture of the left ischial ramus. Mild extra-peritoneal fat stranding in the left aspect of the pelvis near the fractures. The presacral space is obliterated by a collection of intermediate attenuation that may represent an haematoma. Free blood is present in the pelvis and both inguinal canals. The liver, spleen, pancreas, and adrenal glands are normal. Kidneys have normal size and cortical thickness, showing bilateral parapelvic cysts. 6.0 mm stone in the left lower pole. No hydronephrosis. No other abnormality of the bowel is identified. There is intraperitoneal free fluid or free gas. No lymph node enlargement.