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Child, hepatic injury. (a) Baseline ultrasonography shows only echostructural inhomogeneity on VII hepatic segment; (b–c) contrast-enhanced ultrasound demonstrates a laceration and parenchymal haematoma (arrowheads) involving the hepatic capsule, with hyperechoic bubbles indicating active bleeding (white arrow); (d) axial CT scan and (e) coronal reconstruction confirm the involvement of hepatic capsule and the active bleeding in peritoneal cavity.
