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Raheem Report 2

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22 views3 pages

Raheem Report 2

Raheeeeen reujcccc

Uploaded by

bhuvanachandra54
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Raheem 24-Jun-2024

068Y | M
Ref. Doctor : DR. VIJAYA NARASIMHA REDDY,MD

CT ABDOMEN WITH CONTRAST

CLINICAL DETAILS:- pain

OBSERVATION:

Few dilated fluid filled distal small bowel loops with air fluid levels . Point of transition in
the illeocaecal junction . mild wall enhancement of the mid and distal small bowel
loops .
Mild free fluid in the pelvis .
--- possibility of subacute small bowel obstruction due to stricture at illeocaecal junction
Diffuse circumferential wall thickening in the entire large bowel loops with mild
pericolonic fat stranding . No large bowel obstruction .
Moderate erosive arthritis in the left sacroillac joint --- likely due to moderate left
inflammatory sacroillitis
Mild arthritis in the right sacroillac joint
Few 8-10mm mesentric lymphadenitis
Moderate cystitis.
Liver is normal in size, contour and parenchymal density pattern. Intra hepatic biliary

radicles are not dilated. Main portal vein is normal.

Gall bladder is well distended in shape, dimension and wall thickness. Contents are

clear. Cbd not dilated.

Pancreas is normal in size, shape and parenchymal density. Main pancreatic duct is not

dilated. No evidence of ductal or parenchymal calcification. Peripancreatic fat planes

are clear.

Spleen is normal in size and show normal attenuation.

Stomach appear normal.

Both supra renal glands are normally seen.

Kidneys are normal in size, contour, axis and position. No evidence of calculus/

hydronephrosis/ mass.
Both kidneys & ureters show normal contrast excretion.

Aorta, ivc and paraaortic regions are normal. No evidence of abdominal / pelvic

lymphadenopathy.

Urinary bladder is normally distended. No evidence of any calculus / mass.

Prostate is normal in configuration and dimension.

Peritoneal cavity shows no evidence of ascites.

Abdominal wall- soft tissue and the bony parts are normal.

IMPRESSION:

Few dilated fluid filled distal small bowel loops with air fluid levels . Point of transition in
the illeocaecal junction . mild wall enhancement of the mid and distal small bowel
loops .
Mild free fluid in the pelvis .
--- possibility of subacute small bowel obstruction due to stricture at illeocaecal junction
Diffuse circumferential wall thickening in the entire large bowel loops with mild
pericolonic fat stranding . No large bowel obstruction .
Moderate erosive arthritis in the left sacroillac joint --- likely due to moderate left
inflammatory sacroillitis
Mild arthritis in the right sacroillac joint
Few 8-10mm mesentric lymphadenitis
Moderate cystitis.
No free fluid in abdomen.

-----suggestive of inflammatory bowel disease , likely crohn's disease

No evidence of inflamed appendix in RIF.


No abdominal mass .

No renal calculi or hydroureteronephrosis.

Suggested: - Clinical correlation.


Dr. S. Anbumalar
M.B.B.S., MD(RD), FRCR
Consultant Radiologist
Reg. TNMC69882

Disclaimer- It is an online interpretation of medical imaging based on clinical data. All modern machines/procedures have their own
limitation. If there is any clinical discrepancy, this investigation may be repeated or reassessed by other tests. Patient’s identification in online
reporting is not established, so in no way this report can be utilized for any medico legal purpose. In case of any discrepancy due to typing
error or machinery error please get it rectified immediately.

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