Large splenic subcapsular haematoma with linear superior pole hypodensities. Haematoma extends into the left subphrenic space. Peripheral splenic hyperdensities (shown to be calcification when compared to previous imaging).
Extensive peritoneal free fluid in keeping with peritoneal haemodialysis - this is low density (10-15 HU) with layering or haematocrit effect identified. PD tubing noted.
5.5 cm infrarenal abdominal aneurysm with bi-iliac EVAR stent graft. Atrophic native kidneys with multiple cysts, and atrophic right iliac fossa transplant kidney noted. Irregular liver surface. Adrenal glands, pancreas, gallbladder and bowel is unremarkable.