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CT Abd Retroperitoneal Hematoma

Findings: There is an acute left retroperitoneal hematoma with areas of increased attenuation measuring 11.9 x 9.3 cm (image 67, series 3) on axial dimension, and greater than 18 cm superior to inferior, with the inferior aspect extending outside the field-of-view. The hematoma medially displaces the left common iliac artery, left common iliac vein, and psoas muscle. There is fat infiltration and layering blood along the dependent portion of the left retroperitoneum.

There are bilateral fat containing inguinal hernias. There is retained contrast in the bladder. The bladder appears anteriorly displaced, but unchanged from prior exam. Surgical clips are noted in the pelvis. The prostate appears surgically removed.

Gallstones are present in the gallbladder lumen the The visualized liver, spleen, pancreas, and adrenal glands appear unremarkable. There is bilateral renal atrophy. The visualized intestine demonstrates normal course and caliber. There is no lymphadenopathy. Degenerative changes are noted in the spine.

There is diffuse cardiomegaly. There is mild bilateral posterior pleural thickening.

1. Acute left retroperitoneal hematoma, as measured above. Please note that the inferior portion of the hematoma extends outside the field-of-view.
2. Multiple additional findings, as above.