CT
Axial C+ arterial phase
Sagittal C+ arterial phase
Axial C+ portal venous phase
Coronal C+ portal venous phase
Axial renal excretory phase
Coronal renal excretory phase
Axial Delayed after 30 min.
Coronal Delayed after 30 min.
Loss of normal anatomical integrity of the lower pole of the right kidney with a hypoattenuating area (representing parenchymal laceration) and a perinephric hematoma showing high-density fluid inside measuring about 7 x 6 x 10 cm. Intact renal artery and vein.
On the delayed phase images, there is an extravasation of contrast seen connected to the lower major calyx (which was increased in the images taken 30 minutes later) in keeping with a collecting system injury and urine leak.
Mild amount of free fluid seen in the pelvis.
Full catheterized intact urinary bladder.
Incidentally discovered:
- retroaortic left renal vein (anatomical variant)
- replaced right hepatic artery arising from the SMA (anatomical variant)