MODERN HEALTHCARE DIAGNOSTICS

MHD OPP ST. PAUL’S RCM PRIMARY SCHOOL, ISO-ISU, OKE OBAAGUN.
Tel no: 07039977550, 08035389885.
mhealthcarediagnostic@yahoo.com

Patients Name: Ajala David Referred by: Adewale Clinic

Age: Adult Date: 25/05/2022
Sex: Female
Exam: Total Abdominal Scan

TOTAL ABDOMINAL SCAN REPORT

LIVER: The liver is normal measuring 12.17cm in its span with smooth outline
and homogenous parenchymal echoes. No focal intrahahepatic mass
lesion visualized. Hypoechoic fluid collection is noted mildly at the
Morison’s pouch (hepatorenal recess).

GALLBLADDER: The gallbladder is well distended with clear intraluminal bile content.

KIDNEYS: Both kidneys are normal sizes, (RK: 10.96cm x 4.10cm, LK: 11.31cm x
4.23cm) shapes, outlines and positions with good corticomedullary
differentiation and preserved pelvi-calyceal systems. No e/o
hydronephrosis noted.

PERITONEUM: Echogenic cloudy fluid filled collection with internal echoes is noted at
the right lower abdominal and perisplenic spaces. Peristaltic bowel
loops and echogenic fecoliths noted partly within the echogenic
peritoneal fluid.

SPLEEN: The spleen is grossly enlarged with measuring 18.38cm in diameter with
small intrasplenic and large perisplenic hematoma noted; sonographic
features are suggestive of splenic trauma.

URINARY BLADDER: The urinary bladder is well distended with clear urine and normal wall
thickness. No bladder mass, polyp or calculi visualized.

IMPRESSION: SONOGRAPHIC FEATURES ARE CONSISTENT WITH SPLENIC RUPTURE (?

SPLENIC HEMATOMA) DUE TO TRAUMA.
TRAUMATIC ASCITES.
?PARTIAL LARGE BOWEL OBSTRUCTION.

SUGGSET: ABDOMINAL CT, ABDOMINAL RADIOGRAPH (SUPINE & ERECT), FBC.

Sonologist/Date