CT Abdomen and Pelvis with Contrast (With Report), Pyloric Stenosis:

Report: CT ABDOMEN & PELVIS WITH CONTRAST

FINDINGS:

• Liver appear normal in size (12 6 cm) with normal order No focal lesion is noted. Air is noted in the biliary tree suggestive of pneumobilia. No intrahepatic cholestasis noted.
• Gall Bladder is partially distended with oedematous walls having a calculus in GB lumen measuring 10.7 x 10.3 mm and another in GB neck measuring 10 x 11.6 mm.
• Portal vein unremarkable
• Stent noted in CBD extending into right ane left hepatic ducts. The stent in left hepatic duct is reaching its anterior edge.
• Stomach appears distended with circumferential thickening noted at pylorus abutting right lobe of liver and pancreas, suspicious for pylorosternal growth.
• Spleen is of normal size and appears normal No focal lesion noted.
• Pancreatic outline and dimensions are unremarkable. Pancreatic duct not dilated
• Both adrenals are normal in dimensions. No focal deposit seen.
• Bilateral kidneys are normally visualized, No focal lesion, calculus or hydronephrosis noted. No cyst seen. No hyperdense area is noted in the line of ureters on either side.
• Urinary bladder is distended. No calculus, no growth depicted.
• Uterus appears unremarkable.
• Small & large intestinal gut loops are normally visualized No focal mass noted in gut loops
• Aorta & IVC are normal.
• No ascites or para aortic lymphadenopatny noted.
• Visualized parts of bilateral lungs show mild right sided pleural effusion and an atelectatic band in right lower lobe basal segments.
• There is fusion of L1-L2 vertebral bodies forming an acute angle kyphosis.

IMPRESSION:

• Circumferential thickening of pylorus causing distension of stomach is suspicious for pyloral antral growth, ADV: endoscopy with biopsy
• Calculus cholecystitis.
• Stents in CBD and right and left hepatic ducts
• Acute angle kyphosis at L1-L.2 vertepral bodies.