This patient has the typical multifocal hepatocellular carcinoma with rupture of segment 4 and 8 lesions; one large mass located on the left lower liver border possibly hematoma. High-attenuation abdominal and pelvic intraperitoneal fluid is possibly due to hemorrhage. Finally, bibasilar multiple pulmonary nodules are most likely metastases.

Rupture and hemorrhage especially after an injury is a complication of hepatocellular carcinoma with the patients that have large lesions located near the border of the liver.

"Sentinel clot sign" is a very important CT sign needed to be assessed to confirm the diagnosis.