Demographics:
77 years old, Male
Indication:
Upper abdominal pain
Findings
Lower chest
- Small hiatal hernia with mild circumferential mural thickening of the lower thoracic esophagus and layering fluid
Abdomen/Pelvis
- Diverticulum at the junction of the second and third segments of the duodenum with mural thickening/hyperenhancement and surrounding fat stranding in the anterior pararenal space
- Additional larger diverticulum arising from the third segment of the duodenum without inflammatory changes
- Extensive colonic diverticulosis, particularly involving the sigmoid colon with mild increased attenuation in the fat surrounding the sigmoid colon
- Bilateral renal cysts and additional subcentimeter hypodensities which are too small to characterize
- Surgical clips in the subhepatic region
- Right ureter slightly loops into the right inguinal canal without dilation or radiopaque calculi
- Trabeculated bladder wall with a 2.5 cm diverticulum arising from the right aspect of the dome and additional smaller diverticula
- Prostatomegaly
- Mild atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Polyarticular degenerative changes
- Left L5 pars defect without spondylolisthesis
Diagnosis
Duodenal diverticulitis
Sample Report
Findings consistent with duodenal diverticulitis at the junction of the second and third segments of the duodenum. No evidence of perforation or abscess.
Extensive colonic diverticulosis. Mildly increased fat attenuation surrounding the sigmoid colon likely relates to chronic diverticulitis, though a superimposed mild acute diverticulitis is not excluded.
Small hiatal hernia with circumferential mural thickening of the lower thoracic esophagus, which may relate to reflux esophagitis.
Findings suggestive of chronic bladder outlet obstruction with multiple small bladder diverticula.
Discussion