Demographics:
81 years old, Female
Indication:
Left lower quadrant pain
Findings
Lower chest
- Calcifications of the aortic valve, mitral annulus, and coronary arteries
- 6 mm left lower lobe pulmonary nodule and 5 mm pleural based left lower lobe pulmonary nodule
- Mild atelectasis/scarring in the right middle lobe
- Mild bibasilar subpleural reticulation
Abdomen/Pelvis
- Oval fat-containing structure adjacent to the proximal sigmoid colon with a hyperattenuating rim and surrounding fat stranding
- Colonic diverticulosis
- No bowel obstruction
- Focal fatty infiltration in the liver adjacent to the falciform ligament
- 2.5 cm intermediate attenuation left adrenal nodule
- Subcentimeter bilateral renal hypoattenuating lesions which are too small to characterize
- Heavy atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Multilevel degenerative changes of the spine
- Remote posttraumatic deformity of the right iliac wing
Diagnosis
Epiploic appendagitis
Sample Report
Findings suggestive of acute epiploic appendagitis adjacent to the proximal sigmoid colon.
No bowel obstruction.
Colonic diverticulosis without evidence of acute diverticulitis.
Indeterminate 2.5 cm left adrenal nodule. Consider adrenal protocol CT or MRI for further evaluation if prior imaging is not available to document stability.
Left lower lobe pulmonary nodules. Consider follow-up chest CT in 12 months if prior imaging is not available to document stability.
Discussion