23 year-old female with right lower quadrant pain. Rule-out appendicitis. CHEST:LUNG BASES: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: A 4+ zero at 2.4-cm cystic hypoattenuating lesion with thin internal septations and nodular components is seen arising from the body of the pancreas. An MRI is recommended for further evaluation. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The visualized gas filled appendix is normal in appearance. Mild cecal and terminal ileum thickening is seen with an enlarged regional lymph node. In a patient of this age, infectious versus inflammatory etiologies would be the most likely considerations. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No other significant abnormality noted.PELVIS:UTERUS, ADNEXAE: Bilateral ovarian cysts are seen with a small amount of free pelvic fluid, likely physiological given the patient's age.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy noted.BOWEL, MESENTERY: The visualized gas filled appendix is normal in appearance. Mild cecal and terminal ileum thickening is seen with an enlarged regional lymph node. In a patient of this age, infectious versus inflammatory etiologies would be the most likely considerations. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No other significant abnormality noted.
1. Focal thickening of the cecum and terminal ileum as described above. The etiology of disease is most likely infectious versus inflammatory. Ischemic disease is considered less likely.2. Cystic lesion in the pancreas as described above. MRI is recommended for further evaluation.These findings were relayed to the Dr. Eric Beck at 9 a.m. on 10/29/2010