Demographics:
56 years old, Male
Indication:
Epigastric pain
Findings
Lower chest
- No acute findings
Abdomen/Pelvis
- Gallbladder is distended with diffuse wall thickening and a 5 mm stone in the cystic duct
- Tiny area of hypoattenuation adjacent to the gallbladder in hepatic segment 5
- No biliary duct dilation
- 1.5 cm fluid attenuation structure in segment 5 of the liver likely represents a cyst. Multiple additional subcentimeter hypoattenuating lesions are too small to characterize
- Left renal sinus cyst
- Mild atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
- Nonspecific prostatic calcifications
MSK
- No acute findings
- Degenerative changes of the spine and sacroiliac joints with minimal retrolisthesis of L5 on S1
Diagnosis
Acute cholecystitis
Sample Report
Acute calculous cholecystitis. No biliary duct dilation. Recommend surgical consultation.
A tiny area of hypoattenuation adjacent to the gallbladder in hepatic segment 5 may represent early hepatic abscess formation.
Discussion