Demographics:
75 years old, Male
Indication:
Epigastric pain
Findings
Lower chest
- Mild dependent atelectasis
- Coronary artery calcification
Abdomen/Pelvis
- Cholecystectomy
- Mild mural thickening, enhancement, and dilation of the extrahepatic bile ducts (including the remnant cystic duct) without radiopaque calculus
- Mild intrahepatic biliary duct dilation
- Hepatomegaly with diffuse decreased attenuation of the hepatic parenchyma
- Intermediate attenuation 7 mm exophytic lesion arising from the lower pole of the right kidney
- Additional bilateral renal cysts and subcentimeter hypodensities which are too small to characterize
- Colonic diverticulosis
- Outpouching from the anterosuperior bladder possibly representing a urachal diverticulum
- Prostatomegaly
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Multilevel degenerative changes of the spine most advanced at L4-L5 and L5-S1
- Prior right inguinal hernia repair
Diagnosis
Ascending cholangitis
Sample Report
Mild dilation and mural thickening and enhancement of the extrahepatic bile ducts which can be seen with ascending cholangitis. Recommend correlation with laboratory evaluation of liver function.
Indeterminate right lower pole renal lesion and additional bilateral simple appearing renal cysts. Consider nonemergent renal ultrasound for further evaluation.
Hepatomegaly with hepatic steatosis.
Discussion