54-year-old female with history of ventral hernia and hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule, enlarged from previous study now measuring 9 by 9 mm on image number 43, series number 7. MRI of the adrenal gland it helpful for further evaluation.KIDNEYS, URETERS: No focal lesions in both kidneys. No evidence of stones. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes in the lower anterior abdominal wall. There is a midline tissue defect through a short segment of midline incision. No evidence of herniating bowel segments. Small amount of fat indenting the fascia however no obvious evidence of herniation. OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Heterogeneous uterus with possible multiple fibroids.BLADDER: Wall thickening of the bladder. This may represent cystitis.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Postsurgical changes involving the bowel.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Midline tissue defect along incision. Post surgical changes in the anterior abdominal wall. No evidence of obvious herniation.Mild wall thickening of the bladder suggestive of cystitis.MRI of the adrenal may be helpful for further evaluation of small left adrenal nodule, which is increased in size compared to previous study. Clinical correlation is recommended.