Radiopaedia.org

CT kidneys for further evaluation of cysts seen on US 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 dilated.

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 ascites.

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.