Demographics:
89 years old, Female
Indication:
Lower abdominal pain
Findings
Lower chest
- Mild dependent atelectasis/scarring
- 4 mm nodule in the left lower lobe
- Coronary artery and mitral annular calcification
Abdomen/Pelvis
- Diffuse bladder wall thickening with intramural gas and perivesical fat stranding
- Cholelithiasis
- Bilateral renal cysts and additional subcentimeter hypoattenuating lesions in both kidneys, which are too small to characterize
- Large volume of formed stool in the rectum
- Hysterectomy
- Extensive atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Multilevel degenerative changes of the spine with lumbar levocurvature
- Severe right hip degenerative changes
Diagnosis
Emphysematous cystitis
Sample Report
Findings are concerning for emphysematous cystitis.
Large volume of formed stool in the rectum concerning for possible fecal impaction.
Discussion