At least three low-density linear foci extending through the posterior aspect of the lower pole of the left kidney, suspicious for a laceration. These measure up to 1.3 cm in length and appear to extend to the renal collecting system. No involvement of the renal hilum. Perinephric fluid collection and haemorrhage extending down the right retroperitoneal space displacing the right kidney anteriorly.
Significant extraperitoneal pelvic haemorrhage present compressing the bladder. The bladder is collapsed down and is otherwise unremarkable in appearance, no longer 'pear shaped' - in fact now appearing more like an upside down pear.
Severely comminuted sacral fractures extending to both sacroiliac joints. Fractures extend to involve the inferior sacral segments. Undisplaced fractures of the right superior and inferior pubic rami, involving the right acetabulum, with pubic symphysis diastasis.
On the delayed phase imaging extravasation of contrast is seen associated with the significant right-sided sacral fracture extending into the soft tissues of both the retroperitoneal space as well as the posterior soft tissues of the right side of the back. The IVC is collapsed down suggesting a hypovolaemic state.
Right second, fourth and fifth transverse process fractures. Vertebral body height preserved. No lumbar malalignment.
Right-sided soft tissue haematoma, involving the right flank and posterior back extending from the thoracic cage to the natal cleft.