CT - Non-enhanced CT KUB
- ovoid-shaped homogeneous fluid lesion hyperdense to urine at the left retrovesical region, measuring about 7.5 x 6.0 x 5.5 cm, significantly indenting the urinary bladder
- prominent right seminal vesicle
- the left kidney is absent
- the right kidney is hypertrophied, in normal location and orientation. No renal calculi, hydronephrosis, contour deforming abnormality or perinephric collection
- the right ureter and the urinary bladder are unremarkable
- the visualized parts of the liver, gallbladder, common bile duct, pancreas, spleen, adrenals, and bowel loops show no gross abnormality, although this is a suboptimal study due to lack of contrast media
- no free intra-abdominal fluid or air or significant lymphadenopathy detected
- both lung bases are clear
- the visualised parts of the bones show no evidence of destructive lesions
Impression:
A left seminal vesicle cyst is a high probability, with absence of the left kidney. For further investigation by MRI pelvis.