FINAL DIAGNOSE CASE -14

RADIOLOGY CASE -14 FINAL DIAGNOSE (FB AND INSTA POST)

CECT WHOLE ABDOMEN REPORT

Patient Name: 
Age/Sex: 45 /F]
Study Date: Radiology case - 14

Clinical Indication: Pain in umbilical region with Burning machuration with blood in urin..

Technique:

Contrast-enhanced CT scan of the abdomen and pelvis was performed in axial sections with coronal and sagittal reconstructions after administration of intravenous contrast.

Findings:

Impression / Conclusion:

  1. Cholelithiasis – Multiple gallstones without signs of acute cholecystitis.
  2. Right renal multiple calculi with moderate hydronephrosis – Suggestive of obstructive uropathy.

Liver, Spleen, Pancreas, and Adrenals:

  • Normal in size, shape, and attenuation.
  • No focal lesion seen.
  • No evidence of intrahepatic biliary dilatation.

Gall Bladder:

  • Gall bladder is distended.
  • Multiple hyperdense calculi noted within the gall bladder lumen, largest measuring approx 12 mm.
  • No pericholecystic fat stranding or wall thickening.
  • No evidence of cholecystitis.

Biliary Tree:

  • Common bile duct and intrahepatic biliary radicles are not dilated.

Kidneys and Ureters:

  • Right kidney:

    • Mildly enlarged.
    • Shows multiple hyperdense calculi in renal calyces and pelvis; largest measuring approx 26 mm. HU-1120 
    • Moderate hydronephrosis with dilated pelvicalyceal system noted.
    • No significant perinephric stranding or abscess.

  • Left kidney:

    • Normal in size and enhancement.
    • No calculus or hydronephrosis..

Urinary Bladder:

  • Normal distension.
  • No wall thickening or intraluminal lesion.

Bowel:

  • No abnormal bowel wall thickening or obstruction.

Other Findings:

  • No free fluid or free air in the abdomen.
  • No lymphadenopathy.
  • Bones: No lytic or sclerotic lesions.


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