CT SCAN OF ABDOMEN AND
PELVIS(10-02-2000)(Previous to our treatment)
A plain and post contrast C.T. study of the abdomen and pelvis was
performed. Oral contrast had been administrated.
Operated case of Ca breast - three years ago - status post radiotherapy.
There is an evidence of a mixed density mass lesion with cystic area in
the pelvis, extending from the pouch of Douglas to mid abdomen, It shows
heterogeneous enhancement on contrast enhanced scans. It measures 11.9 x
6.9 x 18.8 cm. The part of the mass in the pelvis is mainly cystic with
evidence of small air pockets in it.
It is inseparable from the wall of
sigmoid colon. Ovaries are not visualized separately.
There is reflux of orally administrated contrast medium into the gall
bladder.
The liver, spleen, suprarenals, pancreas and kidneys appear normal.
Enlarged Common iliac lymph nodes are noted bilaterally.
There is no evidence of ascites.
Uterus and urinary bladder appear normally.
Visualised bones appear normal.
CONCLUSION:
Abnormal, heterogenously enhancing mixed attenuation mass with cystic
area and small air pockets, suggestive of malignant neoplasm with
fistulous bowel communication. Organ of origin is difficult to ascertain,
? sigmoid, ? ovarian.
Bilateral enlarged common iliac lymph nodes, suggestive of nodal metastases.
Sonography Study of Abdomen ( 17-10-2000)
Liver is normal in size and echotexture.
No focal lesion noted in liver parenchyma.
Porto-Venous complex is normal. Portal vein is normal.
Intrahepatic biliary radicles and C.B.D. are normal.
Gall blader is Contracted.
Spleen & pancreas are normal in size and echotexture.
Both kidneys are normal in size, shape, position and echotexture.
No evidence of any hydronephrosis or calculi noted.
Both ureters are not dilated & hence normal.
Urinary bladder is grossly normal.
I.V.C. and Aorta are normal.
No evidence of any obvious ascites or enlarged lymph nodes noted in
abdomen.
IMPRESSION:
Essentially normal Study.
CT SCAN OF THORAX (08-11-2000)
Patient is a known case of operated Ca breast and Ca ovary. CT scan of
thorax has been done. Multiple sections at 10 mm interval have been taken
before and after injection of intravenous contrast.
Right breast and pectoralis muscles are not seen -H/O surgery.
Mediastinal vascular structures show normal anatomical disposition. The
trachea is central, both the main bronchi are well seen appear normal.
No Evidence of mediastinal lymphadenopathy noted.
Few fibrotic scars are noted in right upper lobe anterior segment.
No evidence of lung metastasis noted.
bony thorax appears normal.
No evidence of lytic or sclerotic lesion noted.
IMPRESSION:
CT scan study of chest is within normal limits.
No lung metastasis/ mediastinal lymphadenopathy noted.
CT SCAN OF ABDOMEN AND PELVIS (10-11-2000)
Patient is a known case of operated breast and Ca ovary.
CT Scan of abdomen and pelvis has been done with and without intravenous
contrast.Bowel loops were opacified with dilute gastrograffin.
Liver is normal in size and shows homogenous parenchymal density. No focal
hepatic lesion or metastasis are noted.No subphrenic pathology is noted.
Gall bladder is well distended with radioopaque calculi.
Pancreas is seen in its entire length and is normal in size and
configuration. No focal lesion, mass or pancreatitis is noted.
The spleen is normal in size shows homogenous parenchyma.
Both the kidneys are normal in size, shape, location and show equal and
prompt excretion of contrast medium. The pelvi-calyceal system and ureters
are normal. No hydronephrosis or perinephric pathology is noted. No renal
or supra renal mass is noted. The peri and para renal fat spaces are well
maintained.
The aorta and the venacava appear normal. No evicdence of pre and para
aortic lymphadenopathy is noted.
Opacified bowel loops appear normal.
No evidence of ascites is noted.
Urinary bladder is well distended and opacified.
Uterus and ovaries are not seen (H/O Pan hysterectomy)
The pelvic fat planes are well maintained and appeared normal.
The pelvic musculature and the bony pelvic walls show normal outlines.
No pelvic lymphadenopathy noted.
The contrast enhanced pelvic vascular structures appear normal.
IMPRESSION :
Radioopaque calculi in Gall bladder.
Rest of the abdomen is within normal limits.
No evidence of hepatic metastasis/abdominal lymphadenopathy or ascites
noted.
CT SCAN OF THORAX(19-01-2002)
Operated Ca of Ca right breast and right ovary.
CT Scan of thorax has been done.Multiple sections at 10 mm interval have
been taken before and after injection of intravenous contrast.
Absence of right breast.(h/o surgery).
No local recurrence.
Mediastinal vascular structures show normal anatomical disposition.
The trachea is central, both the main bronchi are well seen and appear
normal.
The pre and para tracheal spaces and subcarinal spaces are well seen and
appear normal.
There is no evidence of lymphnode enlargement.
Both the main pulmonary arteries are well seen and pre vascular spaces
appear normal.
There is no evicdence of hilar or para hilar lymphnode enlargement noted.
The mediastinal fat planes are well maintained and appear normal.
The cardiac size and configuration is within the normal limits.
The bones appear normal.
IMPRESSION:
Study is within normal limits.
NO local recurrence.
No Lung metastasis / Lymphadenopathy/ pleural effusion.
CT SCAN OF ABDOMEN AND PELVIS :(19/01/2002)
Operated Ca of Ca right breast and right
ovary. Plain and contrast CT scan of abdomen and pelvis has
been
done.Bowel loops were opacified with oral gastrograffin. Liver is normal
in size and shows
homogeneous parenchyma density. No focal hepatic lesion
or mass is noted. No subphrenic pathology is noted. Gall Bladder calculi.
No changes of cholecystitis. Pancreas is seen in its entire length and is
normal in size and configuration. No focal lesion, mass or
pancreatitis is noted. The spleen is normal in size and shows
homogeneous
parenchyma. Both the kidneys are normal in size and shape, location and
show equal and
prompt excretion of contrast medium. The pelvicalceal
system and ureters are normal. No hydronephrosis
or perinephric pathology
is noted. The peri and the pararenal fat spaces are well maintained. The
aorta and
the venacava appear normal. No pre/para aortic lymphadenopathy
noted. Urinary Bladders appears well
distended with smooth outlines.
Uterus and ovaries are not seen (h/o surgery) No local recurrence. No
abdominal / pelvic lymphadenopathy noted. Opacified bowel loops appear
normal. No evidence of ascites.
IMPRESSION :
Cholelithiasis - No changes of
Cholecystitis
No local recurrence. No liver Metastasis/lymphdenopathy / ascites.
Sonography Study Abdomen (17/12/2002)
LIVER, SPLEEN & PANCREAS are normal in size and echotexture. No
focal lesion noted.
Porto-venous complex is normal. Portal vein is normal.
Intrahepatic biliary radicles & C.B.D. are normal.
Gall Bladder
is not well distended. Its Wall thickness is normal. MULTIPLE GALL STONES
NOTED.
Both Kidneys are normal in size , shape, position & echotexture.
No evidence of any hydronephrosis or calculi noted. Both ureters are
dilated & hence normal. Urinary Bladder is Empty. H/O HYSTRECTOMY
NOTED. I.V.C. & Aorta are normal. No evidence of any obvious ascites
or enlarged lymph nodes noted in abdomen.
IMPRESSION :- Multiple Gall Stones Noted.
Intrahepatic biliary Radicles & C.B.D. are normal. No
Calculi noted within Lumen of C.B.D. H/O
Hysterectomy noted.
X-ray Study of :- Cervical Spine : - A.P. & Lateral View.
Normal cervical lordosis is well maintained.
CHANGE OF CERVICAL SPONDYLOSIS NOTED
No bony erosion noted.Vertebral bodies, laminae, pedicles &
spinousprocesses are normal. No evidence
of any pre or paravertebral soft
tissue swelling noted. No evidence of any cervical rib noted.
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