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NANDKISHOR PATIL

The CECT abdomen-pelvis report indicates a heterogeneously enhancing soft tissue lesion in the distal body and tail of the pancreas, likely neoplastic, with encasement of the splenic artery and vein. Additionally, there are abnormally enhancing lymph nodes in the peri-portal and peri-pancreatic regions, and hypoenhancing lesions in the right lobe of the liver, suspicious for metastasis. The urinary bladder shows mild wall thickening suggestive of cystitis and a soft calculus, along with minimal ascites present.

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5 views

NANDKISHOR PATIL

The CECT abdomen-pelvis report indicates a heterogeneously enhancing soft tissue lesion in the distal body and tail of the pancreas, likely neoplastic, with encasement of the splenic artery and vein. Additionally, there are abnormally enhancing lymph nodes in the peri-portal and peri-pancreatic regions, and hypoenhancing lesions in the right lobe of the liver, suspicious for metastasis. The urinary bladder shows mild wall thickening suggestive of cystitis and a soft calculus, along with minimal ascites present.

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tsshar0201
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We take content rights seriously. If you suspect this is your content, claim it here.
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Name NANDKISHOR PATIL Age 057Y - M

Date 15/02/2025 Patient 20250249


Id

Referring DR MANGESH Center Kothari diagnostics Diagnopein.Wadgaon sheri


Doctor BORKAR Pune

CECT ABDOMEN-PELVIS

Plain and Post-contrast images of the Abdomen are taken.

Heterogeneously enhancing soft tissue density lesion - measuring 40 x 45 x 46 mm noted in the


Distal Body and tail of pancreas. It causes resultant encasement of Splenic artery & Splenic vein.
Posteroinferiorly, it shows loss of fat planes with Left Adrenal gland. It shows hypoenhancement
(with respect to Pancreatic parenchyma) without obvious evident calcification or soft tissue density
at present study --- Likely represents Neoplastic aetiology.

Few varying sized abnormally enhancing lymph nodes noted in Peri-portal, Peri-pancreatic region -
Largest measures 17 x 15 mm (in Axial Plane) --- Likely Metastatic.

Hypoenhancing Hypodense lesions noted in the Right lobe of Liver - Largest measures 6 x 7 mm ---
suspicious for metastasis.

Urinary Bladder appears Well distended. Normal Perivesical fat planes. Mild enhancing diffuse wall
thickening noted in the urinary bladder - max wall thickness 4-5 mm --- Likely Changes of Cystitis.
Soft calculus noted in dependent position along Left Posterolateral aspect of the Urinary Bladder.

Minimal Ascites.

Gallbladder appears partially collapsed.

CBD & IHBR: No obvious evident dilatation.

Spleen: No obvious evident focal mass lesion.

Both Kidneys: Normal size, shape & position. No obvious evident calculus or hydronephrosis on either side.
No obvious evident focal or diffuse mass lesion on either side.

Prostate: Normal Size. Normal Periprostatic fat planes.

Bowel Loops: Unremarkable Visualised small & large bowel loops. No obvious evident abnormal bowel wall
thickening / abnormal dilatation. Unremarkable Appendix.

No obvious evident pleural effusion on either side. Unremarkable Visualised lung fields.
OPINION:-

 Heterogeneously enhancing soft tissue density lesion - measuring 40 x 45 x 46 mm noted in


the Distal Body and tail of pancreas. It causes resultant encasement of Splenic artery &
Splenic vein. Posteroinferiorly, it shows loss of fat planes with Left Adrenal gland. It shows
hypoenhancement (with respect to Pancreatic parenchyma) without obvious evident
calcification or soft tissue density at present study --- Likely represents Neoplastic aetiology.
ADV: Clinical correlation, further workup and Interval follow-up SOS.

 Few varying sized abnormally enhancing lymph nodes noted in Peri-portal, Peri-pancreatic
region - Largest measures 17 x 15 mm (in Axial Plane) --- Likely Metastatic.

 Hypoenhancing Hypodense lesions noted in the Right lobe of Liver - Largest measures 6 x 7
mm --- suspicious for metastasis.

 Urinary Bladder appears Well distended. Normal Perivesical fat planes. Mild enhancing
diffuse wall thickening noted in the urinary bladder - max wall thickness 4-5 mm --- Likely
Changes of Cystitis.

 Soft calculus noted in dependent position along Left Posterolateral aspect of the Urinary
Bladder.

 Minimal Ascites.

This is only a Radiological Opinion & not a Diagnosis. All diagnostic modalities (X-ray / USG / Doppler / CT /
MRI) have their own limitations. Therefore the Radiological report should be interpreted in correlation with
clinical & pathological findings. Not valid for Medicolegal purpose.

Dr. JAY KHARSADIYA


Consultant Radiologist
MD, Radiodiagnosis
Registration Number: G-26816 (MD) and G-53533 (MBBS)
Scan QR to download report

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