Al jala Hospital / benghazi

Radiology Department 

CT scan unit

Name : عبدالله رياض محمد
EX NO:4096  ID NO: 4089  
Gender : male
Age : 55  

Hospital : AlJalla
Nationality : libyan
Bed No:OPD

Clinical data  : Operated case of Ca. colon

128 multi slice CT scan of the chest, abdomen and pelvis with IV and negative oral contrast shows:

Chest:

◈ Trachea central.

◈ Both lung field's normal parenchyma and normal attenuation.

◈ Normal great vessels and heart size.

◈ Normal caliber of both ascending and descending aorta.

◈ No evidence of any focal lesion.

◈ Mediastinum normal, no evidence of lymph node enlargement.

◈ No pleural effusion.

Abdomen & pelvis:

◈ Liver: normal size and density, no intrahepatic dilatation of bile ducts, with evidence of small cystic lesion in RT lobe segment VI measured 2X1.3 cm.

◈ Gall bladder: normal.

◈ Pancreas: normal in size and density, no mass or cyst.

◈ Spleen: normal size and density.

◈ LT kidney: malrotating ((facing anteriorly)) with evidence of staghorn stone and well-defined multiple simple renal cysts.

◈ RT kidney: under sizable with thin cortex and malrotating ((facing anteriorly)) with two well-defined multiple simple renal cysts with evidence of non-obstructed renal stone in upper pole.

◈ Evidence of slightly thick, enhanced wall small bowel with small amount of free fluid in RT side pelvis, comparing with previous CT done 29/12/2016 there is improvement in new CT images.

◈ No free fluid.

◈ No paraaortic lymph nodes.

Conclusion:

◈ K/C Ca. colon with Crohn’s disease.

Consultant  Hanan Elenizi

Radiologist Feras Faiz