57-year-old male with history of chronic heart failure abdominal pain The study is limited due to poor perfusion secondary to patient's heart failure. Focal lesions and distal organs cannot be optimally evaluated.ABDOMEN:LUNG BASES: Significant cardiomegaly, bilateral pleural effusions, more prominent on the right compared to the left with dependent atelectasis consistent with patient's known heart failure.LIVER, BILIARY TRACT: Liver is enlarged with dilated hepatic veins and IVC secondary to heart failure. Focal, peripheral increased attenuation in the right lobe of the liver likely represents a perfusion abnormality. Focal lesions in the liver cannot be excluded.SPLEEN: No significant abnormality notedPANCREAS: Pancreas is atrophic with dilated duct and numerous parenchymal intraductal calcifications consistent with chronic pancreatitis.ADRENAL GLANDS: Slightly thickened left adrenal gland.KIDNEYS, URETERS: Perfusion of the kidneys is limited. Extensive atherosclerotic disease involving the aorta and renal arteries. Right renal cyst. Calcifications in the kidneys are likely vascular, however, small stones cannot be excluded.RETROPERITONEUM, LYMPH NODES: Extensive atherosclerotic calcifications involving the entire vasculature atherosclerotic plaques and stenosis involving most of the visceral branches of the abdominal aortaBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Small amount of ascites. Generalized anasarca.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: The tip of the left femoral venous catheter is in the right ventricle.Ill-defined enhancing lesions lateral to the right psoas muscle in the pelvis. On image number 79, series number 3, at the inferior aspect of this lesion, the lesion measures 2.4 x 2 cm. The etiology is unknown. MRI of the abdomen and pelvis may be helpful for further evaluation.
Limited study due to poor perfusion secondary to patient's congestive heart failure.Cardiomegaly, bilateral pleural effusions, hepatomegaly, ascites, generalized anasarca secondary to patient's known heart failure.Severe and extensive atherosclerotic disease involving the entire vasculature.The tip of the left femoral venous catheter is in the right ventricle.Severe chronic pancreatitis.Enhancing soft tissue density lesions in the right retroperitoneum, adjacent to the psoas muscle. There etiology is unknown. They may represent neoplasm versus abscess. Further evaluation with MRI may be helpful.Bilateral renal calcifications, most of the more vascular, however, small stones cannot be excluded.Dr. Anveroy (3123) was notified and acknowledged about these findings at the time of dictation. 