Demographics:
60 years old, Male
Indication:
Generalized abdominal pain
Findings
Lower chest
- Partially imaged 10 mm subcarinal lymph node
- Coronary artery calcification
- 7 mm left lower lobe pulmonary nodule
- Mild bilateral lower lobe and lingular scarring/atelectasis
Abdomen/Pelvis
- Gallbladder is distended with wall thickening, multiple calcified gallstones, pericholecystic fat stranding, and nonloculated fluid along the inferior aspect of the gallbladder neck
- Discontinuous mural enhancement along anterior and posterior margins of the gallbladder
- Multiple mildly enlarged periportal lymph nodes, likely reactive
- Mild splenomegaly
- Persistent left IVC which drains into the left renal vein. Normal right suprarenal IVC
- Nonspecific cystic changes in the seminal vesicles
MSK
- No acute findings
- Median sternotomy changes
- Multilevel degenerative changes of the spine
Diagnosis
Acute gangrenous cholecystitis
Sample Report
Findings concerning for acute gangrenous cholecystitis. Recommend surgical evaluation.
Recommend nonemergent chest CT to further evaluate a 7 mm left lower lobe pulmonary nodule and 10 mm subcarinal lymph node.
Discussion