Abdominal and Pelvic CAT Scan

ABDOMINAL AND PELVIC CAT SCAN

INDICATION FOR STUDY:  Abdominal pain as well as scrotal pain and the patient was known scrotal varices.

FINDINGS:  Computerized axial tomography of the abdomen and pelvis, both without and with intravenous contrast enhancement and following oral contrast was accomplished without difficulty.

The lower lung fields appear to be normal.  There is fatty infiltration of the liver with decreased attenuation of the liver in relationship to the spleen.  The gallbladder is normal.  The pancreas, adrenal glands, and right kidney are normal.  A very small cyst is seen in the anterior aspect of the left kidney in its mid portion.  The spleen appears to be normal.

Vascular structures are normal.  I see no evidence of ascites.

Extending the examination into the pelvis, organ structures and tissue planes appear to be normally maintained.  No solid or cystic lesions are seen.  I see nothing to suggest diverticular disease involving the lower colon.  The upper scrotum appears to be normal.  A more definitive examination of the scrotum and is contents would be by ultrasound.

IMPRESSION:

1.                   The lower lung fields are normal.

2.                   Fatty infiltration of the liver.

3.                   Small left renal cyst.

4.                   No acute abdominal or pelvic abnormality is identified.