Right lower quadrant pain. Assess for appendicitis. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right mid/upper pole demonstrating wedge-shaped/striated appearance of increased T2 signal intensity (axial series 905 images 96, 136, 176) with surrounding perinephric stranding. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Normal-appearing appendix (axial series 2001 image 43; sagittal series 2101 image 42) without surrounding inflammatory fat stranding or fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Gravid uterus containing a gestational sac, and the right ovary also demonstrates findings compatible with a corpus luteum cyst (coronal series 1701 image 23). Trace physiologic free fluid in the pelvis also noted.
1.MRI findings compatible with right mid/upper pole pyelonephritis. The evaluation is limited due to the lack of intravenous contrast however there are normal-appearing flow voids relating to the right renal artery and vein.2.Gravid uterus containing a gestational sac. Please note the imaging parameters are not diagnostic for a gestational pelvic exam.