The main and accessory left renal arteries becomes discontinuous shortly after the vascular pedicle arises from the abdominal aorta. There is some distal opacification of a few renal vessels. This is consistent with several intimal injuries of the main and accessory renal arteries.
There are multiple areas of non-enhancement throughout the left kidney, consistent with infarcts.
There are strandy blood products in the renal hilum and periaortic region, consistent with hemorrhage in the setting of vascular stretch injury.
Delayed phase images were obtained, with absent opacification of the collecting system, suggesting that the kidney has been largely devascularized and is nonfunctional.