Contrast extravasation within the anterior pelvis predominantly anterior to the bladder and around the embolization site, with small amount of the contrast extending superior and mixing with the moderate haemoperitoneum. Although this can be contributed from the recent intra-arterial injection, however it appears that there is disruption within the anterior bladder neck communicating with the pelvic collection.
Contrast injected during the retrograde urethrogram also noted mainly subcutaneously and within the perineum which also appears communicating with the pelvic collection. Contrast density also noted within the medial compartment of the right upper thigh which may be vascular in source.
No active upper abdominal bleeding. 3.5cm right adrenal haematoma with haematoma tracking superiorly posterior to the IVC. No extravasation of contrast from the IVC. The left adrenal gland has surrounding haemorrhage but is intact. Small left perirenal and perisplenic haematoma with allowing for the respiratory motion artifact no active bleeding or evidence of solid organ laceration identified.
Large right femoral venous line and left arterial sheath. Severely comminuted, moderately displaced, bilateral sacral fractures involving neural exit foramina. Right SIJ disruption with right acetabular and inferior pubic ramus fracture as well as pubis diastasis.
Displaced T11 - L5 right transverse process fractures.