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Free fluid is present in both paracolic gutters, the small bowel mesentery and pooling in the pelvis. There is a density gradient indicating there has been bleeding and this is not just simple fluid. The distal small bowel is thick walled and hypoenhancing over a length of 15 cm, approximately 15 upstream from the ileocaecal valve. A band of high attenuation streaking is present across the lower anterior abdominal wall fat indicating a lap belt injury. No free gas seen.
No solid organ, pulmonary or skeletal injury. No contrast extravasation.