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Abuel CT

The CT scan shows progression in size of an acute necrotic collection in the pancreas measuring 10.0 x 13.9 x 14.4 cm, likely representing necrotizing pancreatitis. The pancreatic duct remains non-dilated. There is stable ileus and minimal ascites. No enlarged abdominal or pelvic lymph nodes are seen. The liver, gallbladder, kidneys, and other abdominal organs appear normal.

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Topher Reyes
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137 views

Abuel CT

The CT scan shows progression in size of an acute necrotic collection in the pancreas measuring 10.0 x 13.9 x 14.4 cm, likely representing necrotizing pancreatitis. The pancreatic duct remains non-dilated. There is stable ileus and minimal ascites. No enlarged abdominal or pelvic lymph nodes are seen. The liver, gallbladder, kidneys, and other abdominal organs appear normal.

Uploaded by

Topher Reyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as TXT, PDF, TXT or read online on Scribd
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Q

i.Scan

Patient ID PAT19021231
Procedure Date:9/22/2019 Report Date:9/22/2019
Patient Name: ABUEL , ORLINO III CANDILOSAS
Birthday: 07/17/1999 Sex M Age: 20

Referring M.D.: DR JILL CHRISTIAN SASAM


Hospital:AFP MEDICAL CENTER
Modality 128-Slice CT
Procedure:CT WHOLE ABDOMEN (TRIPLE CONTRAST)

History: Diagnosed with pancreatic pseudocyst due to blunt abdominal injury


Comparison: CT scan of the whole abdomen dated September 17, 2019

Findings:

Folow-up examination to prior study shows interval progression of the intra and/or
extrapancreatic complex collection
involving the pancreatic head/proximal body. This acute necrotic collection extends
to the peripancreatic regions and
porta hepatis. It demonstrates homogeneous borders without a definite wal and
contains non-liquefied solid
appearing components. This has an aggregate measurement of about 10.0 x 13.9 x 14,4
cm, APxTxCC (previously
remeasured dimensions of 8.5 x 11.9 14.3 cm). Mass effect to the adjacent
structures are not significantly changed

The rest of the pancreas remains compressed. Pancreatic duct is not dilated.

Stomach is collapsed with an enteric tube in place. Some of the small intestines
remain distended and fluid. Bowel
gas pattern is nonobstructive. Minimal bilateral paracolic and pelvic fluid are
present. No evidence of
pneumoperitoneum.

The liver is not enlarged with smooth marginal contour. Parenchyma is homogenous.
No enhancing mass lesion
seen. Both intrahepatic ducts remain prominent, likely due to mass effect of the
aforementioned abnormal collection
Portal vein is patent

Gallbladder is contracted. No lithiasis in the imaged lumen. The wal is thickened,


possibly due to reactive changes.
Common bile duct is not dilated. Pericholecystic fluid is seen.

Spleen and both adrenal glands are normal in size and density. No focal mass
lesions detected.

The kidneys are normal in size and contour. No radiopaque lithiasis is noted,
bilaterally. There is prompt and
symmetric nephrogram enhancement in both sides. No focal enhancing mass is
demonstrated. The pelvocalyceal
structures and both ureters are not dilated

No enlarged abdomino-pelvic lymph nodes are demonstrated. There are subcentimeter


lymph in the retroperitoneal
or mesenteric regions.

The aorta and iliac vessels are normal in calibre with adequate opacification

Urinary bladder is physiologically filed without lithiasis. Prostate gland is not


enlarged without parenchymal
calcifications.

QUEZON CITY BRANCH


MAN CITY BRANCH
VALENZUELA CITY BRANCH
eta Malakas St., Quezon City (Tele 927-2659/928-6197) 2119 Dimasalang Road, Manila
City (Tek 241-8898) 584 McArthur Highway Valorea (Tele 9612371
MRI 15T/128 Sioe CT Scan Hota Medicine PET-CT Scan/MR 15TM28 Slice CT Scan Muli-
slice CT Scan / General Basound
General Ultrasound/Digital Mammography
General Ultrasound/Digital Mammography 2D Echocardiography
2D Echocardiography/Digital X Ray
2D Echocardiography Digital X Ray
Monday Sept 23, 2019
Q

Osseous structures are preserved


Incidental note of RIGHT lower lobe subsegmental atelectasis and/fibrosis.

IMPRESSION

1. PROGRESSION IN SIZE OF THE INTRA ANDIOR EXTRAPANCREATIC ACUTE NECROTIC


COLLECTION
REPRESENTING NECROTISING PANCREATITIS, KINDLY CORRELATE CLINICALLY
2 NON DILATED PANCREATIC DUCT
3. STABLE ILEUS
4 MINIMAL ASCITES
5. UNCHANGED PROMINENCE OF THE BILATERAL INTRAHEPATIC DUCTS
6 NO ENLARGED ABDOMINO-PELVIC LYMPH NODES
7. OTHER FINDINGS OF NOTE

XANTHE MARIA JAVIER, MD, FPCR FCTMRISP


RADIOLOGIST

QUEZON CITY BRANCH


MANILA CITY BRANCH
VALENZUELA CITY BRANCH
868 Malakas St, Quezon City (Tels 927-2659/928-6197)
2119 Dimasalang Road, Manila City(Tel 2418888
584 McArthur HgwayValerzuela (Tel 9612371
MRI 15T/128 Sira CT Scan/Nuclear Medicine
PET-CT Scan MRT STA2 Sir Or Scan/
Mitsi CT Scan/General Ultrasound
General Sund/Dg Mammography
General Ultrasound/Digital Mammography
20 Echocardiography
2D Echocardiography/Digital X-Ray
2D Echocardiography Digital X-Ray
Monday, September 23, 2015
report Status - Date Frei z202019
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