CT SCAN REPORT

Patient Details
Name: MARIYAM SAEEDHA Date: 04-03-2024
Address: Hospital No: IGMH0000126541
Referring Clinician: Dr. Mohamed Rifshan Ismail Age / Sex: 51Y/F

CT EVALUATION OF ABDOMEN AND PELVIS

Clinical Details: subacute intestinal obstruction secondary to post operative adhesions.
Contiguous axial thin sections were taken throughout the abdomen with and without IV
contrast.
Nasogastric tube with its tip in the stomach.
Status post cholecystectomy with surgical clips, appendicectomy and TABSO.
Dilated fluid filled jejunal and ileal bowel loops with maximum diameter of 3.5cm at proximal jejunum.
The transition point is at distal ileum at right iliac fossa with no focal enhancing lesion or bowel wall
thickening. The ileum distal to this point as well as large bowel is collapsed. The bowel wall shows
normal enhancement. No pneumatosis intestinalis. The small bowel mesentery is prominent.
Suncentimeter mesenteric lymph nodes largest measuring 0.6cm.
There is an oval lesion with a hyperdense rim seen posterosuperior to the transition point at the right
iliac fossa measuring 2.2 x 1.2cm.
Minimal pelvic and interloop free fluid seen.
No pneumoperitoneum.
Multiple saccular out pouchings seen at sigmoid colon. No adjacent fat stranding or air pockets.

Liver is normal in size and shows normal parenchymal attenuation value.

No intrahepatic biliary ductal dilatation is noted.
CBD appears normal. PV is of normal caliber.
Pancreas shows normal parenchymal enhancement pattern. Main pancreatic duct is not dilated.
Spleen is normal in size and attenuation value.
Both kidneys appear normal in size. Right renal cortical cysts.
Bilateral adrenals appear normal.
Urinary bladder is underfilled.
Abdominal aorta and IVC appear normal.

Right pleural effusion with adjacent collapse consolidation.

Degenerative changes of the spine. No suspicious bone lesion.

IMPRESSION:
- Status post cholecystectomy, appendicectomy and TABSO.
- Features of small bowel obstruction with transition point at distal ileum at the right iliac fossa likely
due to adhesions. Minimal ascites.
- Sigmoid colon diverticulosis.
- Minimal right pleural effusion with adjacent collapse consolidation.
- Intraperitoneal oval lesion with a hyperdense rim at right iliac fossa DD: sealed chronic collection,
calcified lymph node, foreign body.
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Radiology Department Page 1

Last updated by Dr. Mariyam Muzna on 04/03/2024 11:44:11

 CT SCAN REPORT

Dr. Mariyam Muzna Mohamed, MBBS, MD

Consultant Radiologist

Report Approved Date: 4-3-2024

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Radiology Department Page 2

Last updated by Dr. Mariyam Muzna on 04/03/2024 11:44:11