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A large infra-renal abdominal aortic aneurysm is seen with interruption of the mural calcification at its anterior aspect. The lumen of the aneurysm is seen partially thrombosed with areas of contrast trickling through the thrombus and the posterior wall of the aneurysm showing active extravasation of the contrast.
This is associated with a large retroperitoneal hematoma collection extending to the left para- and peri-nephric spaces.
Note that the IVC is seen slit-like and the adrenals are hyper-enhancing.