Grade IV traumatic liver injury on computed tomography

The CT scan of the abdomen shows a grade IV liver injury with multicentric involvement of the left lobe. Narrow CT windows are used to accentuate differences in contrast. There are two lacerations crossing segments II and III (double arrow), a focal hypodense contusion in segment III (arrowhead), and a cystic collection (dashed arrow) traversing segment II and IV. An acute subcapsular hematoma with high-density blood is noted posteriorly (short arrow).