84-year-old female with constipation, unable to disimpact. Concern for mass or fecolith per ER. ABDOMEN: The exam is not sensitive detection of lesions in the solid organs due to the lack of intravenous contrast. Given that limitation, the following observations are made.LUNG BASES: Left mastectomy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Atherosclerotic changes aorta no evidence of aneurysm.BOWEL, MESENTERY: Bilateral hypoattenuating foci in the kidneys likely cysts. Left lower pole lesion stable but does not have characteristics of simple cyst. See prior evaluation with ultrasound on MRI.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Atrophic or surgically absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Moderate amount of stool in the colon and in the rectum. There is distinct rectal wall thickening to about .8 cm as seen on series 4 image 129. Correlate for possible stercoral colitis limited to the rectum. There is mild stranding of the perirectal fat. Ischio rectal fossa fat is normal.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Atherosclerotic disease.
Possible proctitis. Moderate amount of stool in the rectum. Renal lesions likely cysts including one atypical lesion which is stable.