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CT Renal Stone Pyelo/Epiploic appy

Findings: The bilateral kidneys appear enlarged. There is minimal perinephric fat stranding seen involving the inferior pole of the right kidney. Otherwise, the kidneys, ureters and bladder demonstrate normal size and configuration. There are no calculi visualized and there is no hydronephrosis. Small calcific density is seen immediately superior to the dome of the bladder, which may represent a torsed appendix epiploica. The appendix is demonstrated in the right lower quadrant and normal in appearance and caliber. A small calcification is noted in the spleen, suggesting old granulomatous disease. The remaining visualized abdominal viscera to include the liver, gallbladder, adrenals, pancreas and bowel are unremarkable. Bilateral tubal occlusion devices are seen in the region of the adnexa. The visualized thoracic and lumbar spine are unremarkable. IMPRESSION: 1. No CT evidence of obstructing ureterolithiasis or nephrolithiasis. 2. Abnormal, slightly enlarged appearance of the kidneys and right perinephric fat stranding without cortical attenuation abnormality may suggest an infectious process ie. pyelonephritis, though evaluation is limited without contrast.