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Radiology.Academy.Sk

CT Abd Complex

FINDINGS: The patient is status post cholecystectomy with no intra or extrahepatic biliary dilatation. A focal area of heterogenous density is noted in the medial segment of the left lobe of the liver measuring 2.2 x 2.3 cm (series 2, image 29). The spleen appears generous in size measuring 18.5 cm longitudinally with normal attenuation of parenchyma. Pancreas appears normal. There is asymmetry of the renal collecting systems noted in the left renal pelvis without evidence of obstructing stones or mass. The ureters are not dilated. No renal masses are noted. The adrenal glands are normal bilaterally. Extensive diverticulosis is noted throughout the colon with a no fat stranding or free intraperitoneal fluid or abscess. The appendix has a normal appearance. A small hiatal hernia is noted. There are bilateral fat-containing inguinal hernias and a small fat containing periumbilical hernia.

Chest imaging demonstrates left hilar nodal calcifications consistent with prior granulomatous disease. There is atelectasis within the left base with left diaphragmatic eventration.
There is extensive degenerative change in the lower lumbar spine with spondylolysis at the L5-S1 interval and grade 3 spondylolisthesis. There is bony remodeling in the right posterior iliac with a atrophic change in the adjacent gluteal muscle. Multiple benign-appearing enostosis are noted in the bilateral femoral heads and right iliac bone. There is no lymphadenopathy.

CONCLUSION:
1. Renal pelvic asymmetry consistent with multiple left parapelvic cysts.
2. Extensive diverticulosis with no fat stranding, abscess or fluid to suggest diverticulitis.
3. Bilateral fat-containing inguinal hernias, small periumbilical and hiatal hernias.
4. Spinal degenerative changes with L5-S1 spondylolysis and grade III spondylolisthesis.
5. Bony remodeling of the right iliac with adjacent gluteal atrophy.
6. Left hilar calcifications consistent with prior granulomatous disease.
7. Postsurgical changes consistent with prior cholecystectomy.