Case #16

Case #14

• Lower chest
  • Mild dependent atelectasis
  • Mild scarring in the right middle lobe and lingula
  • Aortic valve/root and coronary artery calcification
  • Small hiatal hernia
• Abdomen/Pelvis
  • Marked distension of a redundant loop of sigmoid colon which is folded on itself with transition points proximal and distal to the distended segment and swirling of the feeding mesentery
  • Adjacent fat stranding and ill-defined fluid in the sigmoid mesentery
  • The duodenum and the majority of the small bowel reside in the right hemiabdomen
  • Scattered colonic diverticula
  • Cholecystectomy
  • Mild intrahepatic and extrahepatic biliary duct dilation with the common bile duct measuring up to 9 mm in diameter
  • Multiple hypodense lesions in the spleen with the largest measuring 2 cm
  • Diffuse pancreatic atrophy with numerous parenchymal calcifications and main duct ectasia
  • Bilateral renal hypodensities which are too small to characterize
  • Prostatomegaly
  • Infrarenal abdominal aortic aneurysm measuring up to 5 cm with left eccentric mural thrombus
  • Left common iliac artery aneurysm measuring up to 1.6 cm
• MSK
  • No acute findings
  • Remote bilateral rib and left L2 transverse process fractures
  • Polyarticular degenerative changes

• Sigmoid volvulus