68 year old female with abdominal pain. Evaluate for colitis, diverticulitis, appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal mass measures 3 cm in diameter. This may be further characterized with noncontrast CT or MRI examination, if indicated.KIDNEYS, URETERS: Fat stranding surrounding the right kidney. Focal decreased areas of attenuation, especially in the right upper pole and left upper pole regions are most consistent with pyelonephritis. Multiple punctate nonobstructing right renal calculus. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes in the lumbosacral spine and pelvis.OTHER: No significant abnormality noted.
Nonenhancing lesions of the renal parenchyma bilaterally are most compatible with pyelonephritis. No hydronephrosis. Nonobstructing right nephrolithiasis. 3-cm diameter left adrenal mass.