Characterize left retroperitoneal collection. ABDOMEN:Exam is limited by patient motion/shimming artifact.LUNG BASES: Cardiomegaly. Pleural effusions.LIVER, BILIARY TRACT: Mild hepatomegaly. The IVC and hepatic veins are distended, which may be seen in patients with right heart failure. Cholecystostomy tube again noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is a large multilobulated lesion demonstrating heterogeneous, high T2 and T1 signal intensity appearing to arise from the left psoas and iliacus muscles, compatible with retroperitoneal hematoma. The hematoma measures approximately 8.3 x 8.3 x 12.1 cm (AP by ML by CC). Superimposed infection cannot be excluded without a contrast-enhanced exam.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Severe anasarca. Large amount of ascites is redemonstrated.OTHER: No significant abnormality noted.
1.Large left iliopsoas retroperitoneal hematoma. Superimposed infection cannot be excluded due to limitation by lack of intravenous contrast.2.Signs of volume overload include cardiomegaly, pleural effusions, distended central veins, and severe anasarca.