Results of CT

NAME: RIMMER DAVID MR #: 1170390 ACCESSION #: 3523114


DATE OF EXAM: 20100702 PHYSICIAN: POURAKBAR MOHAMMAD K

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MS CT PELVIS w w/o CONTR- AT 0848 HOURS (Report)

CT ABDOMEN WITHOUT/ WITH CONTRAST:

TECHNIQUE: Targeted multislice precontrast, postcontrast portal venous phase and delayed acquisition. 5 mm axial images archived.

CONTRAST: 100 cc Isovue-300 administered.

COMPARISON: None.

FINDINGS: The visualized lung bases are clear.

An exophytic enhancing mass arises from the anterior aspect of the lower pole of the left kidney. This mass measures up to 4.5 x 4.6 cm. On the precontrast scan, this lesion demonstrates Hounsfield units of 45. On the portal venous phase of enhancement, this lesion demonstrates Hounsfield units of 104. The left renal vein and inferior vena cava appear patent without evidence of tumor invasion. There is no hydronephrosis. An exophytic low attenuation lesion arises from the inferior pole of the right kidney and measures 3.9 x 3.1 cm. This likely reflects a simple cyst. No renal or ureteral calculi are identified.

The liver, spleen, adrenal glands, and pancreas appear normal.

There is cholelithiasis. No intra- or extrahepatic bile duct dilatation is identified. A small nodule is seen near the splenic hilum which is likely an accessory spleen.

The bowel is normal in caliber. No free fluid is seen within the abdomen.

There is atherosclerotic calcification of the aortic bifurcation and splenic artery. Few small gastrohepatic and retroperitoneal lymph nodes are identified. There is no mesenteric adenopathy.

IMPRESSION:

1. Enhancing exophytic left renal mass, compatible with renal cell carcinoma. No definite venous invasion is identified.

2. Cholelithiasis.

3. Simple-appearing right renal cyst.



Findings were discussed with Dr. Pourakbar at the time of dictation.



CT PELVIS WITHOUT/ WITH CONTRAST:

TECHNIQUE: Targeted multislice precontrast thin section and complete pelvic postcontrast acquisition. Thin section and 5 mm axial images archived.

CONTRAST: 100 cc Isovue-300 administered.

COMPARISON: None.

FINDINGS: No distal urinary tract calculi are seen. The urinary bladder, prostate, and seminal vesicles appear normal.

No inguinal or iliac adenopathy is seen. The bowel is normal in caliber. No free fluid is seen in the pelvis.

Degenerative changes are noted within the lumbar spine. No destructive osseous lesions are seen.

IMPRESSION: No acute abnormality.

Transcribed By: JTAUSCHER : 20100702 : 0944

Approved By:

Radiologist: POPE KRISTEN W