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Contusion of the spleen with some haemorrhage demonstrated in the region around the spleen.Further blood is demonstrated around the right lobe of the liver extending into the right paracolic gutter.Some blood is also present in the dependent parts of the pelvis.The bowel is normal in calibre with no free air demonstrated within the peritoneal compartment.The kidneys are normal in appearance and opacify symmetrically. No lumbar vertebral body fracture can be identified. The pelvis appears to be intact.
CONCLUSION: There is a splenic contusion/laceration with blood demonstrated around the spleen, around the liver and in the pelvis.No definite active bleeder.