Patient Information

Patient Name MOHNISH SAINI 32Y M Patient ID 2756

Age | Gender 032Y/MALE Scan Date FEB 24 2023

Referring Doctor Report Date FEB 24 2023

CECT ABDOMEN (TRIPLE PHASE IMAGING)

TECHNIQUE
The study was done by taking axial sections on a CT scanner from domes of diaphragm till pubic symphysis before & after
administration of intravenous non-ionic contrast medium. No complications encountered.
FINDINGS
Liver:
 Liver is shrunken in size with inhomogeneous parenchyma and nodular surface.
 No focal or diffuse liver lesion seen.
 No evidence of IHBR dilatation is seen.
 Portal vein is dilated, measures 17 mm, with recanalization of para-umbilical vein (12.6 mm), few para-esophageal
collaterals and anterior abdominal wall collaterals and pelvic collaterals.
Gallbladder:
 Gallbladder is contracted with few hyperdense foci in GB fossa -? calculi/? extraluminal calcification. Adv. USG
Abdomen after overnight fasting for GB pathologies.
 CBD is not dilated.
Pancreas:
 Pancreas is normal in size, shape, density and contrast enhancement.
 MPD is not dilated.
 Peripancreatic fat planes are preserved.
 No parenchymal lesion or intraductal calcifications seen.
Spleen:
 Spleen is enlarged in size (measures ~ 15 cm) and shows homogeneous contrast enhancement.
 No focal lesion in spleen is seen.
 Splenic vein is dilated, measures 10 mm with few perisplenic collaterals.
Adrenals:

MOHNISH SAINI 32Y/M | -1

  Both adrenal glands are defined and appear normal and show homogeneous contrast enhancement.
Kidneys:
 Both kidneys are normal in size, position, shape and cortical outline.
 No evidence of hydronephrosis.
 Microlith noted in lower pole of left kidney.
 Both kidneys show good uptake and excretion of contrast material into collecting system.
 Corticomedullary differentiation is maintained.
 Renal pelvis appears normal.
Ureters:
 Both ureters appear normal in course and caliber.
 No evidence of ureteric calculus / obstruction seen.
Urinary Bladder:
 Urinary bladder is empty.
Gastrointestinal Tract
 Stomach is distended with normal gastric wall thickness and enhancement.
 C-loop of the duodenum is defined.
 Contrast filled small and large bowel loops appear normal in caliber.
 Appendix and surrounding soft tissue in right iliac fossa appear unremarkable.
 Ileocecal junction appears defined.
 Colon is predominantly faecal loaded and is unremarkable.
 Rectum appears normal in the scan. The peri-rectal fat planes are intact.
Prostate and Seminal Vesicles:
 Prostate is normal in shape, size and enhancement pattern.
 Prostatic Capsule is intact.
 Seminal vesicles and peri-prostatic region appears unremarkable.
Miscellaneous:
 Moderate ascites is noted.
 Diffuse abdominal wall and mesenteric fat stranding noted.
 No significant mesenteric or retroperitoneal lymphadenopathy detected.
 Aorta its major branches, IVC and its tributaries are well opacified with contrast and appear normal.
 Bilateral lung bases appear normal. No pleural effusion is seen on either side.
 Visualized skeletal structures appears unremarkable.

MOHNISH SAINI 32Y/M | -2

IMPRESSION
 Chronic liver parenchymal disease with features of portal hypertension.
 Splenomegaly and collaterals as described.
 Moderate ascites.
 Gallbladder is contracted with few hyperdense foci in GB fossa -? calculi/? extraluminal calcification. Adv. USG
Abdomen after overnight fasting for GB pathology.
 Left renal microlith.
RECOMMENDATION
Suggested clinical correlation.

Dr. Sofia Bansal

MD Radiodiagnosis
Consultant Radiologist
Xpert Rad Teleradiology
Ph: 7206342492

Disclaimer
It is an online interpretation of medical imaging based on the available clinical data. Patient's identification in online reporting is not
established, so this report cannot be utilized for any medico legal purpose/ certifications. All modern machines/procedures have their
own limitations. If there is any clinical discrepancy, this investigation may be repeated or reassessed by other tests.

MOHNISH SAINI 32Y/M | -3