CT Abdomen Pelvis
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Right hip rod/nail causes artefact, degrading diagnostic quality in the affected region. The study is also degraded by motion artefact.
There is a 1.5cm mass projecting into the bowel lumen at the rectosigmoid junction. There is also a stenotic lesion in the ascending colon. No bowel obstruction.
No liver lesion demonstrated. Cholelithiasis. There is a 5.3cm left upper pole exophytic renal or adrenal lesion with dense peripheral calcification. This has been present since the previous AXR and likely represents a calcified cyst or old haematoma. The left ovary is bulky for a patient of this age (2.6 x 3.0cm).
There are prominent para-aortic and bilateral iliac nodes, however these are not enlarged according to size criteria. Prominent vascular calcification. No free fluid.
No suspicious osseous lesion. Grade 1 retrosynthesis of L5 on S1 with degenerative changes.