CT kidneys for further evaluation of cysts seen on ultrasound performed in St. Elsewhere
Numerous low density lesions are shown in
both kidneys, none of which enhance, and all of which are consistent with
cysts. There is no evidence of soft tissue parenchymal abnormality. No fat
containing lesions. No urinary obstruction on either side.
The liver is of low volume, and there is caudate hypertrophy. There are
at least two focal liver lesions: (1) 1.5 cm, segment VII, image 5.82, 25
Hounsfield units. (2) 0.8 cm, segment VI, image 5.1 of for, 40 Hounsfield
units. The portal vein is patent. There is no CT evidence of
intrahepatic duct dilatation. The common bile duct at the level of the
pancreatic head measures 1.1 cm in diameter. The pancreatic duct is not
There are extensive upper abdominal and lower oesophageal varices. There
is moderate splenomegaly. There is intermediate attenuation 1.2 cm
rounded splenic lesion, which may represent a cyst. There is some
wedge-shaped high density material within the anterior segment of the
spleen. There is a shallow defect in the splenic surface laterally. No
Pancreas and adrenal glands appear normal.
Redundant sigmoid colon and large amount of faecal residue throughout the
entire colon. No bowel obstruction. There is mural thickening of
the rectum (up to 1.8 cm), which may represent portal colopathy of the rectum.
The urinary bladder is thin-walled, and has a volume of approximately 850 ml.
There is a 2.8 cm homogeneous fat density lesion anterior to the right
quadratus lumborum in keeping with a lipoma. No evidence of
any cuntinuous lesions. Small enostosis in the left S2, otherwise no
focal liver lesion is identified. Somewhat thin cortex in the vertebral bodies
raises suspicion of osteopenia.