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In the liver, segment VIII irregular low density area measuring 4.5 x 4.0 x 2.9 cm in keeping with liver laceration (grade III). Moderate perihepatic free fluid in keeping with blood.
No splenic laceration. Minor perisplenic blood.
Subtle wedge-shaped perfusion defect in the right renal upper pole, consistent with segmental renal artery dissection.
Loops of thickened hyperaemic small bowel, most likely secondary to "shock bowel" (due to hypovolaemia).
Distended bladder. Moderate free pelvic and paracolic gutter fluid.