MRI evaluation of acute renal trauma

We describe the MR findings in a patient with acute renal injury after blunt abdominal trauma associated with perinephric hematoma and urinoma. Both CT and MR findings are described. Active urine extravasation into a perinephric urinoma is demonstrated by serial post-contrast imaging with CT and MRI showing progressively increased attenuation/signal intensity fluid in communication with the collecting system, commencing 2 minutes after contrast administration.