“I would like some help understanding a CT scan?”
I got my CT scan results back and I have some questions as there may be a long wait to see a hepatologist. The notes regarding my CT scan are copied and pasted below. It is scary to see anything other than unremarkable but praying these things listed are benign. Thank you so much for your time!!
TECHNIQUE:
This examination was performed using automated exposure control, adjustment of mA or kV according to patient size, and/or use of iterative reconstruction technique. Multiple contiguous axial images were obtained from the lung bases through the pubic symphysis with and without intravenous contrast. CT urogram protocol including non-contrast, nephrogram phase and delayed phase images with multiplanar reconstructions.
115 cc Omnipaque 300 contrast.
FINDINGS:
Small calcified granuloma in the right lower lobe with a small calcified lower paraesophageal lymph node.
Fleischner Society recommendations are utilized for any incidental pulmonary nodules.
Genitourinary: No renal, ureteral or bladder calculi. No solid renal mass. The collecting systems, ureters and bladder are within normal limits.
Hepatobiliary: Sequela of remote granulomatous disease with numerous punctate hepatic calcifications. No suspicious focal liver mass. No radiodense gallstones or bile duct dilatation.
Spleen: Normal.
Pancreas: No evidence of pancreatic mass or duct dilation.
Adrenal glands: Normal.
Stomach and bowel: No bowel wall thickening or evidence of bowel obstruction. Appendix is normal.
Peritoneum: No free fluid or free air.
Lymph nodes and vascular: The visualized abdominal vasculature is unremarkable. No mesenteric or retroperitoneal adenopathy.
Vascular: Borderline dilated gonadal veins and opacification of numerous prominent lower parauterine and lower pelvic varices. Moderate narrowing of the left common iliac vein between the right iliac artery and spine.
Pelvis: Corpus luteum in the left ovary.
Bones: No aggressive bone lesion.
IMPRESSION:
1. Unremarkable CT urogram assessment of the kidneys, ureters, and urinary bladder; no urolithiasis, hydronephrosis, or suspicious renal mass identified.
2. Borderline dilated gonadal veins with numerous prominent mildly dilated periuterine and lower pelvic varices; correlate clinically for evidence of pelvic congestion syndrome. There is also moderate narrowing of the left common iliac vein secondary to compression from the right common iliac artery.
3. Sequela of remote granulomatous disease with numerous punctate hepatic and splenic calcifications and a few small calcifications in the lower chest.
Thank you for this referral. This examination was interpreted by a Colorado Imaging Associates radiologist. Providers with questions may reach a radiologist directly at 303-223-4448.
Final Electronic Signature: This report was electronically signed by Philippe Tirman, MD on 3/24/2022 3:25 PM.
ptirman /
This document was electronically signed by Philippe Tirman, MD
TECHNIQUE:
This examination was performed using automated exposure control, adjustment of mA or kV according to patient size, and/or use of iterative reconstruction technique. Multiple contiguous axial images were obtained from the lung bases through the pubic symphysis with and without intravenous contrast. CT urogram protocol including non-contrast, nephrogram phase and delayed phase images with multiplanar reconstructions.
115 cc Omnipaque 300 contrast.
FINDINGS:
Small calcified granuloma in the right lower lobe with a small calcified lower paraesophageal lymph node.
Fleischner Society recommendations are utilized for any incidental pulmonary nodules.
Genitourinary: No renal, ureteral or bladder calculi. No solid renal mass. The collecting systems, ureters and bladder are within normal limits.
Hepatobiliary: Sequela of remote granulomatous disease with numerous punctate hepatic calcifications. No suspicious focal liver mass. No radiodense gallstones or bile duct dilatation.
Spleen: Normal.
Pancreas: No evidence of pancreatic mass or duct dilation.
Adrenal glands: Normal.
Stomach and bowel: No bowel wall thickening or evidence of bowel obstruction. Appendix is normal.
Peritoneum: No free fluid or free air.
Lymph nodes and vascular: The visualized abdominal vasculature is unremarkable. No mesenteric or retroperitoneal adenopathy.
Vascular: Borderline dilated gonadal veins and opacification of numerous prominent lower parauterine and lower pelvic varices. Moderate narrowing of the left common iliac vein between the right iliac artery and spine.
Pelvis: Corpus luteum in the left ovary.
Bones: No aggressive bone lesion.
IMPRESSION:
1. Unremarkable CT urogram assessment of the kidneys, ureters, and urinary bladder; no urolithiasis, hydronephrosis, or suspicious renal mass identified.
2. Borderline dilated gonadal veins with numerous prominent mildly dilated periuterine and lower pelvic varices; correlate clinically for evidence of pelvic congestion syndrome. There is also moderate narrowing of the left common iliac vein secondary to compression from the right common iliac artery.
3. Sequela of remote granulomatous disease with numerous punctate hepatic and splenic calcifications and a few small calcifications in the lower chest.
Thank you for this referral. This examination was interpreted by a Colorado Imaging Associates radiologist. Providers with questions may reach a radiologist directly at 303-223-4448.
Final Electronic Signature: This report was electronically signed by Philippe Tirman, MD on 3/24/2022 3:25 PM.
ptirman /
This document was electronically signed by Philippe Tirman, MD
Female | 43 years old
2 Answers
the liver is fine. don't worry about this.
Looks like you’re good to go…
