81-year-old female with history of renal cell cancer, status post left radical nephrectomy. Abdominal pain, vomiting and diarrhea. Rule out obstruction. This examination is limited by the absence of intravenous contrast.ABDOMEN:LUNG BASES: Mild bibasilar atelectatic changes. Small pericardial effusion.LIVER, BILIARY TRACT: The gallstone seen on the prior MRI examination is no longer present in the gallbladder. The gallbladder contains a small amount of air seen on coronal image 73/118 and axial image 41/153 of series 3. A minimal amount of perihepatic free fluid is present. There is a punctate calcification in the left lateral hepatic segment, probably due to old granulomatous disease.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Status post left radical nephrectomy. Large simple cyst at the right inferior pole. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The stomach is moderately dilated with fluid and retained food. There is partial small bowel obstruction. A 2.7-cm diameter gallstone with peripheral calcifications is present in the distal jejunum at axial image 102/153 of series 3. This is the apparent source of obstruction. The small bowel proximal to the gallstone obstruction is mildly dilated and the wall is thickened, probably due to edema.BONES, SOFT TISSUES: Degenerative changes in the spine.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Atrophic or absent. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Degenerative changes in the lumbosacral spine and pelvis.OTHER: No significant abnormality noted
Gallstone ileus. 