33-year-old male, presenting with nausea vomiting abdominal pain ABDOMEN:LUNG BASES: Small bilateral pleural effusions, new from previous study. pleuralLIVER, BILIARY TRACT: Stable thrombosis of the right anterior portal vein.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small amount of ascites. Postsurgical changes around the ileostomy takedown in the right lower quadrant. Mild dilatation of the distal small bowel loops without any obvious transitional point may represent ileus. Multiple enlarged mesenteric lymph nodes which are slightly increased in size compared to previous study.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Possible collection posterior to the pouch which was drained previously. Interval removal of drainage catheter. The collection cannot be clearly differentiated from the anterior pouch. MRI of the pelvis may be helpful for better evaluation of this collection.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Postsurgical changes reflecting the ileostomy takedown.Patient's known presacral collection is again noted, however, this cannot be well differentiated from the anterior pouch. MRI of the pelvis may be helpful for further evaluation.Dr. Kosoko was notified technologist and acknowledged about these findings at the time of the patient.