History of nausea, right lower quadrant abdominal pain. Patient is pregnant. History of appendicitis. ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology. Trace perihepatic fluid. Minimal fluid in Morison's pouch.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild right-sided hydronephrosis is within physiologic limits of pregnancy.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The patient is status post appendectomy. Minimal fluid in the right lower quadrant is nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small bilateral pleural effusions.PELVIS:UTERUS, ADNEXA: Please note that the study was not ordered or performed for fetal assessment. The placenta is located along the left anterolateral superior uterine cavity without evidence of placenta previa.There is an approximately 2.1 cm right ovarian cyst. The ovary is mildly enlarged. The vasculature cannot be evaluated.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Please note that this study was not ordered or performed for a dedicated fetal assessment.2.The appendix is not visualized as the patient is status post appendectomy.3.Small amount of fluid in the right lower quadrant with mildly enlarged ovary containing a 2.1 cm cyst. The vasculature cannot be assessed on this study. Further evaluation with pelvic ultrasound is recommended to exclude torsion.4.Physiologic right-sided hydronephrosis. Minimal free fluid in the abdomen otherwise. Small pleural effusions.Findings discussed with referring physician by Dr. Massey at 9:30pm on 8/22/2014.