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DIAGNOSTIC IMAGING REPORT: CT SCAN

Patient Name: Benjamin Engelhart

Patient ID: 112592 DOB: 10/05/ Age: 46 Sex: Male

CT Scan No.: 10-790031

Ordering Physician: Alex McClure, MD

Procedure: CT Scan of abdomen and pelvis without contrast.

Date of Procedure: 11/14/

HISTORY: Right lower quadrant pain. No previous studies.

ABDOMEN: The lung bases appeared unremarkable. The liver, spleen, gallbladder,
adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels
seen on the study appeared thickened. Dilated appendix seemed consistent with acute
appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was
seen.

PELVIS: Good-quality, non- contrasted, actual CT examination of the pelvis with


coronal reconstructions. The prostate, seminal vesicles and urinary bladder appeared
WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of
the appendix, and cecum consistent with acute appendicitis. Osseous structures of the
pelvis appeared intact with evidence of bilateral hip degenerative changes.

IMPRESSION: 1. Findings consistent with acute appendicitis.


2. Degenerative changes of the hips.

_______________________
Paula Reddy, MD, Radiology

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