Demographics:
60 years old, Male
Indication:
Right upper quadrant pain
Findings
Lower chest
- Multiple pulmonary nodules, with the largest measuring 5 mm in the left lower lobe
- Mild dependent atelectasis
Abdomen/Pelvis
- Short segment circumferential mural thickening at the hepatic flexure of the colon with mild surrounding fat stranding
- No bowel obstruction
- Scattered colonic diverticula without adjacent inflammatory changes
- Diffuse hypoattenuation of the hepatic parenchyma
- Bilateral interpolar renal cysts and additional subcentimeter hypoattenuating lesions which are too small to characterize
- Peripherally hyperattenuating, centrally fat attenuation structure in the ileocolic mesentery, which likely represents a remote torsed epiploic appendage
- Minimal atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Polyarticular degenerative changes
Diagnosis
Infectious colitis
Sample Report
Focal colitis involving the hepatic flexure, which may relate to an infectious (including C. difficile) or inflammatory source. Recommend correlation with age-appropriate screening colonoscopy to exclude underlying neoplasm.
Multiple pulmonary nodules with the largest measuring 5 mm in the left lower lobe. Recommend nonemergent chest CT for further evaluation.
Hepatic steatosis.
Discussion
References