Demographics:
32 years old, Female
Indication:
Right flank pain
Findings
Lower chest
- Mild bibasilar atelectasis/scarring
- Partially imaged central venous catheter with tip in the right atrium
Abdomen/Pelvis
- 6 x 5.5 x 6.5 cm right adnexal structure with a thick hyperattenuating rim containing scattered hypoattenuating foci and a hypoattenuating center
- Hepatomegaly with diffusely decreased attenuation of the hepatic parenchyma
- Cholecystectomy
- Bilateral tiny nonobstructing renal calculi without radiopaque ureteral calculi
- Appendectomy
- Hysterectomy
MSK
- No acute findings
- Bilateral L5 pars defects with trace anterolisthesis of L5 on S1
Diagnosis
Ovarian torsion
Sample Report
Right adnexal structure which is favored to represent an enlarged ovary with a rim of hemorrhage, which can be seen with ovarian torsion. Recommend urgent pelvic ultrasound for further evaluation.
Bilateral nonobstructing nephrolithiasis.
Hepatomegaly with hepatic steatosis.
Discussion