Case #11

Case #9

• Lower chest
  • Mild dependent atelectasis
  • Coronary artery calcification
• Abdomen/Pelvis
  • Large volume pneumoperitoneum with gas and fluid in the lesser sac
  • Diffuse colonic wall thickening and mesocolic fat stranding without evidence of bowel obstruction
  • Moderate volume abdominopelvic ascites
  • Subcentimeter fluid attenuation lesion in the left hepatic lobe, which is too small to characterize
  • High density material layering in the gallbladder, likely relating to vicarious excretion of contrast material
  • Residual enhancement of both kidneys with excreted contrast material in the collecting systems and bladder, likely related to IV contrast administration from a recent prior study
  • 2.5 cm interpolar left renal cyst
  • Foley catheter in place with intraluminal bladder gas likely relating to instrumentation
  • Extensive atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
• MSK
  • No acute osseous findings
  • Thoracolumbar spinal fusion hardware with extensive posttraumatic deformity of the lower thoracic and lumbar spine
  • Osteopenia
  • Body wall edema

• Duodenal ulcer perforation