Kidneys with reverse corticomedullary differentiation, non-enhancing cortex and a normal enhancing medulla (reverse rim sign) compatible with renal cortical necrosis. Portal venous gas. Bilateral adrenal gland hyperenhancement.
Colonic wall thickening is probably related to ischaemic colitis. Bilateral femoral haematomas with signs of active bleeding/false aneurysm on the left.
Small amount of free fluid in paracolic gutters. Mild bilateral pleural effusion.