Demographics:
57 years old, Male
Indication:
Pelvic pain
Findings
Lower chest
- No acute findings
Abdomen/Pelvis
- Extensive gas within the left scrotal sac and left greater than right aspects of the perineum
- Small bilateral hydroceles
- Mild hepatomegaly with diffusely decreased attenuation of the hepatic parenchyma
- Colonic diverticulosis
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute osseous findings
Diagnosis
Fournier gangrene
Sample Report
Extensive gas within the left scrotal sac and left greater than right aspects of the perineum concerning for Fournier gangrene. Recommend surgical consultation.
Hepatomegaly with hepatic steatosis.
Discussion