Answer: D. All of the above.
- This young man has a horseshoe kidney, which had not previously been identified.
- There is hypoechoic fluid posterior to the left kidney, which is concerning for blood.
- Additionally, there are low level echoes layering in the bladder, also consistent with blood products.
- Based on these findings, laceration of the kidney was highly likely.
- A contrast enhanced CT was then performed to evaluate the extent of renal injury.
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