Status post trans-urethral resection of the prostate. The bladder is decompressed around a foley catheter. There is a focus of extraluminal air anterior to the bladder neck in an area of marked wall thinning as well as in the lateral right deep pelvis, with extensive extraperitoneal and space of Retzius fluid (blood and/or urine). Findings are highly suspicious for bladder leak which would be better characterized by dedicated cystourethrogram.
Peritoneal layering of free fluid and stranding anterior to the bladder suspicious for blood products or extravasated urine. No well organized fluid collection, however superinfection is difficult to exclude.