60 year old male with right lower quadrant abdominal pain referred to testes. Rule out appendicitis. US exam negative for testicular torsion. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: 1.9 cm diameter right upper pole renal cortical lesion appears uniloculated and may be a mass or atypical cyst. Contents measure approximately 60 HU. Further evaluation with non-contrast CT scan or dedicated renal MRI is recommended to distinguish a solid renal mass, if indicated. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.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: Appendix is normal. BONES, SOFT TISSUES: Small gas bubble in right pubic symphysis may be due to osteoarthritis, seen best on axial image 125/142 and coronal image 66/131. OTHER: No significant abnormality noted
No appendicitis. Small gas bubble in right pubic symphysis, may be due to osteoarthritis. Hyperdense 1.9 cm diameter right upper pole renal mass, may be further evaluated with non-contrast CT scan or dedicated renal MRI, if indicated. 