MSCT SCAN OF ABDOMEN WITH PELVIS (

PLAIN )
MSCT imaging was performed using submillimeter thin contiguous axial scan of
abdomen and pelvis with oral, per-rectal and I.V. contrast. Coronal and sagittal
Reformatted images were obtained.

The study reveals evidence of inhomogeneously enhancing mild thickened and oedematous
appendix in its entire course with mild peri-appendicular fat stranding suggestive of acute to
sub-acute appendicitis likely.

No definite evidence of appendicoliths are seen.

The appendix measures 06 mms in diameter. The length of the appendix measures 7.5 cm
in size.

No definite evidence of perforation is seen in appendix.

There is seen inflammatory thicknning of the Caecum, IC junction and terminal ileum
suggestive of inflammatory chagnes.

Multiple enlarged mesenteric lymphnodes are seen in right iliac fossa suggestive of reactive
nodes.

The study reveals evidence of well defined rounded hypodense areas involving segment VI
and segment VII of right lobe of liver measuring 30 x 29 mms in size suggest possibility of
infective etiology, early abscess formation. Another small two hypodense areas are seen in
segment VI of right lobe of liver.

Gall bladder and intrahepatic Billiary radicles appear normal. No radio-dense calculus is
seen. Gall bladder appears to be posteiror in location.

Pancreas appears normal. No dilated pancreatic duct, intraductal calculi or peripancreatic

collection is seen. Spleen does not reveal any abnormality.

Both kidneys and suprarenal glands appear normal. No evidence of mass, calculus or
hydronephrosis is seen. Aorta and both upper psoas muscles appear normal except
atherosclerotic calcified plaques are seen in abdominal aorta and in both common ileac
arteries.

Urinary bladder is distended and shows wall thickening measuring 6 mms in size suggest
changes of cystitis. No calculus, mass or diverticulum is seen.
Prostate appears enlarged in size and measures 55 x 51 x 49 mms in size. No prostatic
calcification or mass lesion is seen.
Rectum appears normal. No definite rectal wall thickening is noted.
Iliopsoas and bony pelvis appear normal.

IMPRESSION:-

The CT morphology of an inhomogeneously enhancing mild thickened and

oedematous appendix in its entire course with mild peri-appendicular fat
stranding suggest possibility of acute to sub-acute appendicitis likely. Clinico-
pathological correlation.

No definite evidence of appendicoliths.

No definite evidence of perforation in appendix.

Inflammatory thicknning of the Caecum, IC junction and terminal ileum suggestive

of inflammatory chagnes. No definite evidence of bowel mass lesion.

Multiple enlarged mesenteric lymphnodes in right iliac fossa suggest reactive

nodes.

Focal well defined hypodense lesion in segment VI and segment VII of right lobe
of liver may suggest infective lesion, early abscess, However Contrast study with
Triphasic study for confirmation.

Another small two hypodense areas in segment VI of right lobe of liver may
suggest simple cysts.

Mild benign prostatic enlargement. No focal lesion.

Changes of cystitis, However no evidence of radio-dense calculus in urinary

bladder.

No significant pre-para aortic lymphnodes or ascites.