Contrast-enhanced CT shows hypodense splenic laceration within the superolateral aspect of spleen does not involve the hilum. There are hyperdense areas due to an intraparenchymal hematoma on non-contrast images. The arterial phase demonstrates focal areas of high attenuation in the splenic parenchyma due to active extravasation.
There is also hemorrhagic peritoneal free fluid (hemoperitoneum).
Findings are consistent with grade 3 splenic injury.