「けんじが病院に？」「そうや、ほんまけったくそ悪い......」

「？」「、......」

'Kenji's in the hospital?' 'Yeah, it's really rotten luck...'

Literal

''Kenji [subject-が] hospital [locative-に]?'' ''That-so [Kansai-や], really shit-damn bad......''

Kansai dialect. そうや is the Kansai form of そうだ. ほんま is the Kansai equivalent of 本当 ('really, truly'). けったくそ悪い is a rough Kansai expression meaning 'damned bad, rotten, irritating' — けったくそ literally 'fart-shit' is an intensifier. The expression conveys strong emotional dissatisfaction with a bad situation, more vivid than standard Japanese equivalents.