CT Abdomen and pelvis
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Lack of enhancement of the renal parenchyma involving the upper and part of mid third of the left kidney in keeping with an acute infarct. The renal pelvis and ureter are preserved on the contrast and delayed phase (no urine leak visible). No perirenal fat-stranding. No evidence of vascular active bleeding.
Small amount of fluid tracking along the anterior left pararenal space and also observed in the pelvis, showing high attenuation in keeping with haematoma component.
The spleen shows a moderate sized central and inferior laceration and associated with a small amount of subcapsular haematoma. Mild retroperitoneal fat stranding with some prominent lymph nodes.
Liver, pancreas, right kidney and adrenal glands are normal. No abnormality of the bowel is identified. There is no free gas.