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  • loops of small intestine outside body wall in left ventral/inguinal region
  • no visible urinary bladder
  • increased soft tissue opacity in retroperitoneal space
  • right SI luxation
  • left iliac body, right ischial, and bilateral pubic fractures
  • wispy subcutaneous soft tissue in lumbar region
  • body wall herniation with small intestine in left inguinal region
  • possible urine leakage or hemorrhage in retroperitoneal space
  • possible ruptured urinary bladder
  • Excretory urography (once patient hydrated and stable) preferred over cystography, since we need to evaluate kidneys
  • and ureters
  • +/- ultrasound of abdomen to evaluate for free fluid, etc
  • surgery to repair hernia, fractures
  • complete thoracic radiographs
  • The retroperitoneal space and lack of urinary bladder visualization was missed by some candidates. The recommendation for excretory urography and why was not consistent.