{"id":17111,"date":"2018-04-29T20:52:47","date_gmt":"2018-04-30T00:52:47","guid":{"rendered":"https:\/\/wsbj.com\/sorabji\/?p=17111"},"modified":"2018-04-29T20:52:47","modified_gmt":"2018-04-30T00:52:47","slug":"got-my-scores","status":"publish","type":"post","link":"https:\/\/wsbj.com\/sorabji\/2018\/04\/29\/got-my-scores.html","title":{"rendered":"Got My Scores"},"content":{"rendered":"

Study Result<\/h2>\n

Impression<\/h3>\n
\n

Impression:<\/p>\n

No CT evidence of acute intra-abdominal pathology.<\/p>\n

No evidence of appendicitis. Descending and sigmoid colon
\ndiverticulosis without evidence of diverticulitis.<\/p>\n

2 cm low-density lesion with peripheral discontinuous enhancement
\nmost likely representing a benign hemangioma. Clinical aspects of the
\ncase will determine if further characterization with nonemergent MRI
\nis warranted.<\/p>\n

Attending physician note:<\/p>\n

I have personally reviewed the images and resident’s interpretation
\nthereof and agree with the findings.
\n–<\/p>\n<\/div>\n

Narrative<\/h3>\n
\n

CT ABDOMEN AND PELVIS WITH CONTRAST<\/p>\n

Clinical history: Diffuse lower right rib pain and upper quadrant
\npain.<\/p>\n

Technique: A CT scan of the abdomen and pelvis was performed from the
\nlung bases to the pubic symphysis. Dose reduction techniques were
\nutilized including kVp\/mA dose modulation based on patient size
\nand\/or iterative reconstruction.
\nContrast: 100 mL Isovue 370. Enteric: Oral contrast<\/p>\n

Radiation dose estimate: 526 mGycm.<\/p>\n

Comparison: Ultrasound abdomen dated May 14, 2015<\/p>\n

Findings:
\nLimited lower chest:
\nVisualized heart and pericardium: Unremarkable
\nLung bases: No infiltrate<\/p>\n

Abdomen:
\nLiver: Normal size. There is a 2 cm segment 6 low-attenuation lesion
\nwith peripheral discontinuous nodular enhancement likely representing
\nhemangioma (series 2 image 51).
\nPortal and hepatic veins: Patent
\nBile ducts: No intrahepatic biliary dilatation
\nGallbladder: Fluid filled
\nPancreas: No solid mass
\nSpleen: Normal size
\nAdrenal glands: No mass
\nKidneys: Normal size and enhancement, no hydronephrosis, no solid mass
\nAbdominal aorta: Normal course and caliber
\nRetroperitoneum: No lymphadenopathy
\nPeritoneum: No free air, fluid collection, or ascites<\/p>\n

Bowel: There is no evidence of bowel obstruction. The appendix is
\nidentified and appears normal in size. No periappendiceal
\ninflammatory changes are seen. Normal caliber small bowel and colon.
\nThere is extensive descending and sigmoid colon diverticulosis
\nwithout evidence of diverticulitis..<\/p>\n

Pelvis:
\nReproductive: Prostate is not enlarged.<\/p>\n

Urinary bladder: Normal wall thickness<\/p>\n

Pelvic and inguinal lymph nodes: Normal size<\/p>\n

Soft tissues: Unremarkable subcutaneous and muscular soft tissues<\/p>\n

Bones: Productive changes are seen in the lower thoracic spine. Mild
\ndegenerative changes are present in the lumbosacral spine.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Study Result Impression Impression: No CT evidence of acute intra-abdominal pathology. No evidence of appendicitis. Descending and sigmoid colon diverticulosis without evidence of diverticulitis. 2 cm low-density lesion with peripheral discontinuous enhancement most likely representing a benign hemangioma. Clinical aspects of the case will determine if further characterization with nonemergent MRI is warranted. Attending physician […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[2],"tags":[],"class_list":["post-17111","post","type-post","status-publish","format-standard","hentry","category-181-2","et-doesnt-have-format-content","et_post_format-et-post-format-standard"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paumAn-4rZ","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/posts\/17111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/comments?post=17111"}],"version-history":[{"count":0,"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/posts\/17111\/revisions"}],"wp:attachment":[{"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/media?parent=17111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/categories?post=17111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wsbj.com\/sorabji\/wp-json\/wp\/v2\/tags?post=17111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}