CT Abdomen and Pelvis with contrast

Performed December 24, 2024

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HISTORY: Abdominal pain.

COMPARISON: CT abdomen pelvis May 3, 2023

TECHNIQUE: CT examination of the abdomen and pelvis was performed following the administration of intravenous contrast. CT dose lowering techniques were used, to include: automated exposure control, adjustment for patient size, and/or use of iterative reconstruction.

CONTRAST: 150 mL of Omnipaque 350 intravenous contrast was administered.

FINDINGS:

ABDOMEN/PELVIS:

  • Lower Chest: Heart size is normal. Minimal dependent atelectasis bilaterally at the lung bases. Small hiatal hernia.
  • Liver: Noncirrhotic liver morphology. There is no focal hepatic lesion. The portal veins and hepatic veins are patent.
  • Gallbladder and Bile ducts: The gallbladder is unremarkable. No intrahepatic or extrahepatic biliary ductal dilation.
  • Pancreas: Normal.
  • Spleen: Normal.
  • Adrenal Glands: Normal.
  • Kidneys: Symmetric renal parenchymal enhancement. No focal renal lesions. There is no hydronephrosis.
  • GI Tract: Small hiatal hernia. The stomach, duodenum, and visualized small bowel are nondilated. The appendix is normal. The colon is nondilated. Diverticulosis throughout the sigmoid colon without wall thickening or pericolonic fat stranding.
  • Mesentery and Peritoneum: Normal.
  • Vasculature: Abdominal aorta is normal in caliber. IVC is unremarkable. Major mesenteric arteries are patent.
  • Lymph Nodes: No mesenteric, retroperitoneal, or pelvic lymphadenopathy.
  • Abdominal Wall: Small fat-containing umbilical hernia.
  • Urinary Bladder: Normal.
  • Reproductive: The prostate and seminal vesicles are unremarkable.
  • Bones: Degenerative disc disease throughout the lower lumbar spine. No compression fractures.

IMPRESSION:

  • No acute findings to correlate with abdominal pain.
  • Sigmoid colon diverticulosis without evidence of diverticulitis.

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