Which of the following is not a common complication associated with the use of iodinated contrast media?

The option identified as not a common complication associated with the use of iodinated contrast media is internal bleeding. Iodinated contrast media primarily has known side effects such as nephrotoxicity, allergic reactions, and hypotension, but internal bleeding is not directly linked to its administration.

Nephrotoxicity refers to the potential harm that iodinated contrast agents can cause to the kidneys, especially in patients who have pre-existing renal impairment. Allergic reactions can range from mild to severe and are a recognized risk when using these contrast agents. Hypotension can occur as a response to the osmotic effects of the contrast or due to anaphylactic reactions in susceptible individuals.

In contrast, internal bleeding is more typically associated with traumatic injuries or medical conditions rather than being a consequence of contrast media use. Therefore, it stands out as not being a common complication in the context of iodinated contrast media.