76-year-old female with intermittent abdominal pain and rising white cell count ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesions in the left lobe, too small to characterize but are most likely cysts.SPLEEN: No significant abnormality notedPANCREAS: 14 x 7 mm cystic lesion in the pancreatic body likely representing a benign branch type I PMN. Follow-up imaging with MRI in one year is recommended.ADRENAL GLANDS: Diffuse left adrenal thickening.KIDNEYS, URETERS: Striated nephrogram involving the left kidney consistent with acute pyelonephritis. Mild wall thickening of the right uroepithelium, most prominent in the pelvis is also suspicious for pyelonephritis. Fat stranding along both ureters also suggest pyelonephritis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Status post hysterectomy.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
Bilateral pyelonephritis. No evidence of abscess.Small pancreatic cyst likely representing a branch type I PMN. Follow-up with MRI in one year is recommended.