Demographics:
52 years old, Female
Indication:
Right sided abdominal pain
Findings
Lower chest
- Mild cardiomegaly
- Mitral valve replacement
- Small hiatal hernia
Abdomen/Pelvis
- Wedge-shaped hypoattenuating areas in the superior aspect of the spleen and in the upper pole and interpolar regions of the right kidney
- Right lower pole renal cyst and additional bilateral subcentimeter renal hypoattenuating lesions, which are too small to characterize
- Normal appendix
- Hysterectomy
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Bilateral L5 pars defects with grade 1 anterolisthesis of L5 on S1
- Areas of subcutaneous nodularity in the lower ventral abdominal wall which likely relate to subcutaneous medication injection
Diagnosis
Splenic and renal infarcts
Sample Report
Likely remote infarct in the superior aspect of the spleen.
Multiple wedge-shaped hypodense areas in the right kidney may represent age-indeterminate infarcts and/or areas of focal pyelonephritis. Recommend correlation with urinalysis.
Discussion