57-year-old female with right lower quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several hypodense lesions in the liver are incompletely evaluated with this single phase contrast enhanced CT. ultrasound or liver MRI may be helpful for further evaluation. An index lesion in the left lobe measures two by 1.2-cm image number 25 of series number 3.SPLEEN: 1.2-cm cyst in the spleen.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral benign-appearing renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The appendix is dilated with thick walls and periappendiceal fat stranding consistent with acute appendicitis. No evidence of abscess.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: 4.6 x 3 cm cystic lesion involving the right ovary. Pelvic ultrasound is recommended for further evaluation. Left ovary contains at 1.4 cm cyst.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Acute appendicitis.Right ovarian cystic mass . further evaluation with transvaginal ultrasound is recommended.Several hypodense lesions within the liver. Their etiology is unknown. Ultrasound or MRI of the liver may be helpful for further evaluation and characterization of these lesions.