Abdomen

LIVER: Meas- 16 cm Enlarged in size with normal contours of Liver.

IMP: HEPATOSPLENOMEGALY.

GALL BLADDER:
A calculus meas – 14mm noted in the lumen..

IMPRESSION : CHOLELITHIASIS.

PANCREAS:
SPLEEN:

RIGHT KIDNEY:

LEFT KIDNEY:
A cyst meas- 4.0 x 3.3 cm noted in upper pole.

IMPRESSION :

BILATERAL GRADE –I RENAL PARENCHYMAL CHANGES.

SUGGESTED RFT CORRELATION.

Right kidney: 1. mild dilatation of pelvicalyceal system and ureter noted .

2. a calculus meas mm note in VUJ.

IMP: MILD RIGHT HYDROURETERONEPHROSIS –SECONDARY TO VUJ CALCULUS.

URINARY BLADDER:
Well distended, No calculus or diverticulum

diffuse circumfrential bladder wall thickening no9ted maximum thickness meas- 4.0 mm

IMP : CYSTITIS.

UTERUS: POST HYSTERECTOMY

: Meas- 3.2 x 2.3 x 1.1cm small in size with normal shape of the uterus.
Echotexture is normal. Endometrial echo is normal.
No focal lesion seen in the uterus.

IMPRESSION :
1. GRADE I FATTY LIVER.
2. SMALL SIZED UTERUS - ? HYPOPLASTIC.

SUGGESTED MRI PELVIS FOR FURTHER EVALUATION.

OVARIES:L OVARIES & UTERUS : ATROPHIC

A cyst meas- 4.5 x 4.2 cm noted in left ovary.

IMP: SIMPLE LEFT OVARIAN CYST.
Right kidney: mild dilatation of pelvicalyceal system and ureter noted .

a calculus meas mm note in VUJ.

IMPRESSION: b

Urinary bladder: Diffuse circumfrential wall thickening noted maximum thickness meas -
4.2mm with multiple internal echoes.

1. MILD RIGHT HYDROURETERONEPHROSIS –SECONDARY TO VUJ CALCULUS.

2. CYSTITS
. A calculus meas-7mm noted in mid pole calyx

1. RIGHT RENAL CALCULUS -(NON-OBSTRUCTIVE).

IMPRESSION: MODERATE LEFT HYDROCOELE

.
CHOLECYSTITS

- Moderate amount of free fluid noted in left hemi scrotum with internal echoes within.

- SCROTUM: BULKY RIGHT EPIDIDYMIS WITH HETEROGENOUS ECHOTEXTURE AND

INCREASED VASCULARITY
- S/O EPIDIDYMITIS.

Multiple calculi noted in all calyces each meas- 7mm.

A calculus meas – 5.7mm noted in distal ureter.

1. MILD LEFT HYDROURETEONEPHROSIS – SECONDARY TO DISTAL URETERIC CALCULUS.

2. LEFT RENAL CALCULI

An anterior abdominal wall defect meas mm noted in right inguinal region with
herniation of bowel.
PROSTATE : : (Vol 59cc) Enlarged in size and normal echotexture.no
focal lesion

IMP : GRADE -I PROSTATOMEGALY

1. A tubular dilated non-peristaltic structure with maximum luminal diameter mear 5.6
mm noted in the RIF with few adjacent mesenteric enlarged lymphnodes.

IMPRESSION : ACUTE APPENDICITIS.

Mesenteric:
2 . Multiple dilated mesenteric lymphnodes noted largest meas- 10mm.

IMPRESSION : MESENTRIC LYMHADENITIS.

3 An anterior abdominal wall defect meas- 6.8mm noted in the umbilical region with
herniation of omentum.

IMP :UMBILICAL HERNIA

4. An anterior abdominal wall defect meas- 7.0mm noted in the right inguinal hernia with
herniation of omentum and bowel.

IMPRESSION :

1. MILD RIGHT HYDROURETERONEPHROSIS – SECONDARY TO VUJ CALCULUS.

2. RIGHT INGUINAL HERNIA.
 5. An anterior abdominal wall defect meas- 1.7cm noted in the right inguinal hernia with
herniation of omentum minimal amount of fluid noted.

IMP: INGUINAL HERNIA

6. Few enlarged mesenteric lymphnodes noted largest meas- 10mm.

IMP : MESENTRIC LYMPHADENITIS

7. A tubular dilated non-peristaltic structure with maximum luminal diameter meas-

8mm noted in the RIF.

ACUTE APPENDICITIS .
Abdomen

Right kidney: mild dilatation of pelvicalyceal system and uretra noted .

a calculus meas mm note in VUJ.

IMPRESSION: MILD RIGHT HYDROURETRONEPHROSIS SECONDARY TO VUJ CALCULUS.

Urinary bladder: Diffuse circumfrential wall thickened noted maximum

thickness meas -4.2mm with multiple internal echoes.
1. MILD RIGHT HYDROURETRONEPHROSIS –SECONDARY TO VUJ CALCULUS.

2. CYSTITS
1. RIGHT RENAL CALCULUS -(NON-OBSTRUCTIVE).
A calculus meas-7mm noted in mid pole calyx

An anrerior abdominal wall defect meas mm noted in right inguinal region with
herniation of bowel.

-Both testis are normal.

-Bilateral epididymis are normal.

-No free fluid in bilateral scrotal sacs.

IMPRESSION: RIGHT INGUINAL HERNIA AS DESCRIBED.

1.MILD LEFT HYDROURETRONEPHROSIS

- SECONDARY TO DISTAL URETERIC CALCULUS.

2. LEFT RENAL CALCULI.

. Mutiple calculi noted in all calyces largest meas -7mm.

A calculus meas-5.7mm noted in distal ureter.

Modarte amount of fulid with multiple internal echoes and septations noted in
the peritoneal cavity-chronic collection.

IMPRESSION: Suggested CECT abdomen for futher evaluation

CT:
A large haemorrhage meas -4.2x5.6 cm noted involving right basal ganglia extending into
bilateral ventricals, 3rd and 4th ventricals.
Mass effect noted in the form of compression of ipsilateral lateral ventricle and adjacent
sulcal spaces. Midline shift of 12.5mm noted towards left.

Hypodensity noted in right corona radiate and basal ganglia – Chronic infarct.

CHRONIC INFARCT IN RIGHT BASAL GANGLIA AND CORONA RADIATA2. AGE

RELATED CEREBRAL ATROPHY.