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Nov 07 1342

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Harlem Hospital Center

506 Lenox Avenue, New York, NY 10037

Radiology Department

Patient:

MRN-V#: 2128967-114 DOB:... Age:... Sex: ...

Location: 215 Gastrointestinal

Order Author: Rishi Pawa, MD

Attending: Jay Cowan, MD

DOS: 19 Oct 07 1753

Accession 44: 3812494

Abdomen & Pelvis CT With Contrast

INDICATIONS

abdominal pain, none

Final Report

History:

... year old M with abdominal pain.

Technique: Multiple axial CT images are obtained from the lung bases to the pubic symphysis with administration of intravenous and oral contrast. No prior studies are available for direct comparison.

Findings: Limited views provided at the inferior thorax demonstrate patchy bibasal dependent pulmonary parenchymal opacity most consistent with atelectatic change. The heart is enlarged.

The upper gastrointestinal tract is poorly evaluated due to filling with a heterogeneous mixture of enteric matëYl~I tisgrossly normal however and course and contour. The liver is unremarkable. The gallbladder is decompressed, preventing adequate evaluation. The pancreas appears atrophic. A spleen and adrenal glands are within normal limits.

The kidneys demonstrate prompt bilateral symmetric uptake of contrast. There are several punctate cortical/subcortical low attenuation lesions within the kidneys bilaterally which are far too small to fully characterize via CT yet most consistent with tiny nascent renalThyst. The ureter suboptimally distended but grossly unremarkable. The prostate is heterogeneous in attenuation and somewhat lobular in contour, protruding into the base of the urinary bladder.

Evaluation of the distal gastrointestinal tract is markedly lirnited by large amount of retained enteric/fecal material. There are no s±ificantlydilätèd bbwel oops to suggest obtruction or ileus. The appendix is not clearly identified however there are no pericolonic inflammatory changes to suggest appendicitis. No free intra-abdominal fluid or gas is demonstrated. There is no extravasation of enteric or vascular contrast.

Minimal atherosclerotic calcifications are noted along the aortoiliac axis, predominately in the more distal vasculature, with otherwise normal vascular appearance. No significant adenopathy is demonstrated by CT criteria although

This report is reviewed, interpreted and electronically signed by Daniel E Frank, MD on 23 Oct 07.

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