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Figure 4a. (a) Longitudinal transabdominal US image of the pelvis in a 24-year-old woman depicts a small amount of anechoic fluid (curved arrow) in the CDS adjacent to hyperechoic bowel (bo). In addition, some fluid extends superiorly over the uterine fundus and bladder dome and into the SVS (straight arrows). (b) Transverse contrast-enhanced CT image of the upper abdomen reveals extensive liver laceration (arrows).