CT scan report = December 05, 2012

it's all medical terms...but if you read the 'Impression' you may be able to understand it then......unremarkable means:  good/great


CT of the chest without contrast:

Clinical history:  Malignant neoplasm of the spienic fiexure, Comparison with PET CT 1/19/2012 was made.

Technique:  Multidetector imaging was performed through the chest.  Coronal reconstructions were performed.

Findings:  The lungs are clear of nodules, effusions, infiltrate or consolidation.

The trachea, mainstem bronchi and segments are unremarkable.

No suspicious hilar, mediastinal or axillary adenopathy is noted.  A small hiatal hernia is present.  The aorta, heart, pericardium, thyroid, great vessels and pulmonary arteries are unremarkable.

The bones are unremarkable.

IMPRESSION:  Small hiatal hernia.


CT of the abdomen and pelvis without contrast:

Technique:  Multidetector imaging was obtained through the abdomen and pelvis with oral contrast. 
Coronal reconstructions were performed.

Findings:  The liver demonstrates a small area of decreased attenuation in the right lobe image 50 measuring 6 x 8 mm.  This was shown to represent a hypermetabolic lesion on the comparison CT however on the noncontrast imaging previously it was not low-attenuation.  This may represent an area of scarring post treatment.  The fatty infiltration of the liver appears to have improved from the comparison study.  Surgical clips are seen in the right anterior hepatic lobe images 61-64.  The spleen, pancreas and adrenals are unremarkable.  The kidneys are unremarkable.

There is no bowel obstruction.  There is no ascites or adenopathy in the abdomen.  The gallbladder is surgically absent.

The aorta, IVC, illaca, mesenteric vessels, portosplenic confluence and renal vessels are unremarkable.

There is no pelvic adenopathy, free fluid or masses.  The bladder is unremarkable.  Postsurgical changes are identified in the right anterior abdominal wall.  The uterus and adnexa are unremarkable.

The bones are unremarkable.

IMPRESSION:
1.  Small area of decreased attenuation in the liver where previously a metabolic lesion was seen on the 1/19/2012 PET/CT.  Findings may be secondary to scarring.
2. Less fatty infiltration of the liver from comparison study.
3. Post cholecystectomy.  Surgical clips identified within the liver.