The doc at the er said i had a hematoma on my lower back from my horse accident. but all i see is red speckles, what is a hemotona and what to expect?

Blood: A hematoma is basically blood that has gone into the soft tissues. Trauma is a common cause. If the hematoma is superficial, it will often cause the appearance of a bruise in the area. If it is deep, it may not be visible. They can resorb, but should be followed by a doctor to make sure they are not expanding or becoming infected. Sometimes they have to be drained.

Could be ?????: Can't tell without a photo. If it's a hematoma (bruise) then it should resolve on it's own.