uniwander12022-08-25 02:04:20

好像没什么大问题。我是因为右腹不舒服和皮肤变黄去做CT的

https://bbs.wenxuecity.com/health/1049244.html

好像消化系统没什么问题,但是肺部好像有些要注意的地方? 希望大家给看看,谢谢!

 

EXAM: CT Abdomen and Pelvis With Contrast

 

HISTORY: RIGHT lower quadrant pain

 

TECHNIQUE: Single phase images were obtained through the Abdomen and pelvis after administration of 100 cc IV Omnipaque 350.

 

All CT scans are performed using dose optimization techniques as appropriate to the exam being performed. These techniques include automatic exposure control and/ or standardized protocols utilizing dose matching according to exam type and patient size.

 

Oral contrast: Yes

 

COMPARISON: None available

 

FINDINGS:

 

Abdomen CT

 

Lung bases:

 

There are scattered areas of increased lung density which may represent atelectasis, nonspecific interstitial changes, and/or scarring.

 

Follow-up recommendations according to Fleischner 2017 guidelines for INCIDENTALLY detected pulmonary nodules if this patient is LOW RISK: No routine follow-up needed

 

 

Gastric region: Unremarkable

 

Liver/Bile Ducts:

 

Overall appearance: Unremarkable except for tiny low-density lesion anteriorly near the ligamentum teres on image 16 2 small to characterize possibly minimal focal fat deposition, and a tiny lesion near the IVC in the RIGHT lobe liver too small to characterize.

 

Hepatic veins and portal veins: Patent

 

Liver size: 18 cm or less, likely not enlarged.

 

Gallbladder : Visualized without inflammatory changes.

 

Spleen: Normal in size and appearance and measures less than 13 cm in length.

 

Pancreas: No mass visualized nor fluid collections.

 

Retroperitoneum and nodes: No enlarged lymph nodes based on short axis size criteria.

 

Kidneys and adrenals: Adrenals are unremarkable

 

Small kidney lesions noted bilaterally which are too small to characterize and nonspecific.

 

Follow-up of cystic renal lesion, adrenal lesion less than 1 cm, or likely benign adrenal lesion 1 to 4 cm if this patient is LOW RISK: No follow-up imaging is recommended based on radiological findings

 

Aorta and SMA/ Vascular: No abdominal aortic aneurysm.

 

Presence of IVC filter: Not applicable

 

Bones and body wall: No compression fractures identified.

 

No large ventral abdominal wall bowel containing hernia.

 

Other: Scattered sclerotic lesions in the bones are probably bone islands but are nonspecific.

 

Gastrointestinal tract/ Bowel/ Mesentery/Peritoneum: Scattered diverticulosis without acute diverticulitis. No evidence of high-grade bowel obstruction.

 

Appendix: Unremarkable

 

 

Pelvic CT

 

 

Pelvic Organs: Unremarkable for age.

 

Other: Moderate amount of urine in the bladder noted

 

Ascites: None.

 

 

IMPRESSION:

 

1. No evidence of high-grade bowel obstruction. Normal appendix. No ascites.

fuz2022-08-25 10:42:54
腹部,看最后一行。胸部,No routine follow-up needed,说明没啥事儿
uniwander12022-08-25 14:13:36
谢谢!