Performed at June 17 2009
abdomen and pelvis CT without contrast
flank since 2 a.m., resolved since visit the clinic
Findings: Standard CT of the abdomen and
pelvis was performed
There is fatty infiltration of the liver. The visualized portions of the
adrenal glands are grossly unremarkable on this
2. There is stone in the gallbladder.
Multiple bilateral renal cysts are seen, some of which are exophytic.
4. There is a 4-mm non-obstructing stone in the left
right hydroureteronephrosis is seen.
6. No left
or hydroureter identified.
7. There is a 6 mm stone in the urinary bladder,
immediately adjacent to the right ureterovesical junction, probably
representing a stone recently passed into the bladder.
8. The prostate is
moderately enlarged, measuring 5.4 by 4.4 cm in axial plane.
No free fluid is seen in the abdomen or pelvis.
10. No evidence of small
11. The appendix is normal
lesions with 'corduroy-like' sclerotic densities are
seen in the vertebral bodies, most likely representing
largest is at L2, which involves the entire
changes are seen in the
14. No abnormalities noted
in the visualized lung bases.
1. Mild right hydroureteronephrosis, and a subcentimeter stone in the
urinary bladder, immediately adjacent to the right ureterovesical
junction, probably representing a stone recently passed into the
2. Fatty liver.
4. Moderately enlarged prostate.
5. Multiple lucent
lesions with “corduroy-like” sclerotic densities in
vertebral bodies, most likely representing hemanginomas. The largest is
at L2, which involves the entire
The study was flagged in radiology inbox. Action required.
Your recent CT scan showed
kidney stones, one that was in the
one that appeared to have passed into the bladder, the likely cause of
your recent pain. Let me know if this has not resolved.
There were a few other
incidental findings, namely Gallstones, fatty liver, enlarged prostate,
and hemangiomas, which are blood collections that are not dangerous.
official copy will be coming in the mail.I've included info below for
you to read.
If you are interested in
Screening, that is
something that we can do with a rectal exam and/or PSA blood testing.
Please schedule a visit if you are interested in this.
Fatty liver is likely
due to your weight. Sometimes the fat can irritate the liver. Slowly
losing weight, no greater than 1.5 pounds per week can help with this.
Call or email if questions.
Kaiser Permanente Care Instructions
1. Gallstones: After Your Visit
Your Care Instructions
Gallstones are stones
made of cholesterol and other substances that form in the gallbladder or
bile duct. The gallbladder is a small sac located just under the liver.
It stores bile released by the liver. Bile helps you digest fats.
Gallstones also can form in the common bile duct, the tube that carries
bile from the gallbladder and the liver to the small intestine.
Gallstones may be as small as a grain of sand or as large as a golf
Gallstones that cause
symptoms usually are treated with surgery to remove the gallbladder. If
the first attack of Gallstone pain is mild, it is often safe to wait
until you have had another attack before you consider having surgery.
Talk with your doctor about whether you need surgery.
Follow-up care is a key
part of your treatment and safety. Be sure to make and go to all
appointments, and call your doctor if you are having problems. Its also
a good idea to know your test results and keep a list of the medicines
How can you care for
yourself at home?
- Take your medicines
exactly as prescribed. Call your doctor if you think you are having a
problem with your medicine.
- Avoid foods that cause
symptoms, especially fatty foods. These can cause Gallstone pain.
- You may need more
tests to look at your gallbladder.
When should you call for
Call your doctor now or
seek immediate medical care if:
- You have a new fever.
- Your belly pain gets
much worse, or you have new or different pain.
- Your skin or the white
parts of your eyes turn yellow.
- You have light-colored
stools and dark urine.
Watch closely for
changes in your health, and be sure to contact your doctor if:
- You are not feeling
better within 1 day.
Where can you learn
http://www.kp.org Enter X038 in the search
box to learn more about "Gallstones: After Your Visit".
This care instruction is
for use with your licensed healthcare professional. If you have
questions about a medical condition or this instruction, always ask your
healthcare professional. Care instructions adapted by Kaiser Permanente
from Healthwise, Incorporated © 2008. Healthwise disclaims any warranty
or liability for your use of this information.
Your Kaiser Permanente
2. Prostate Cancer
After Your Visit Your
The prostate gland is a
small, walnut-shaped organ that lies just below a man's bladder. It
surrounds the urethra, the tube that carries urine from the bladder out
of the body through the penis.
Prostate cancer is the abnormal growth of
cells in the prostate. Cancer of the prostate is the second most common
type of cancer in men. (Skin cancer is the most common).
Most cases of
prostate cancer occur in men older than 65. The disease runs in families
and is more common in African-American men. It also tends to be more
common in men who eat a high-fat diet.
Prostate cancer may be curable if
you find and treat it in its early stage. However, not all cases of
prostate cancer are treated. Depending on how old you are and how slowly
the cancer is growing,
prostate cancer may not shorten your
life. Follow-up care is a key part of your treatment and safety. Be sure
to make and go to all appointments, and call your doctor if you are
having problems. Its also a good idea to know your test results and keep
a list of the medicines you take.
What are the screening tests for
There are two screening tests for
prostate cancer: the
prostate-specific antigen (PSA) test and the digital rectal exam.
PSA test measures the level of prostate-specific antigen in your blood.
A high PSA level may mean that you have an enlargement, infection, or
cancer of the prostate.
- The digital (finger) rectal exam checks for
abnormalities in the pelvic area, including the prostate. The doctor
inserts a lubricated, gloved finger into the rectum.
- Neither of these
tests is used on its own to diagnose
prostate cancer. If these tests
point to cancer, your doctor will probably recommend a prostate
prostate cancer diagnosed?
In a biopsy, small tissue
samples are taken from the prostate. A doctor looks at the samples under
a microscope for signs of cancer, infection, or other problems. The
results of a biopsy can be used to diagnose
What are the
pros and cons of screening?
Neither a PSA test nor a digital rectal exam
can tell you for sure that you do or do not have cancer, but they can
help you decide whether you need more tests, such as a prostate biopsy.
Screening may be useful because most men with
prostate cancer do not
have symptoms. Without Prostate Cancer
Screening, you may not know that you have cancer
until it is more advanced and harder to treat.
Prostate cancer tends to
develop late in life and grows slowly. For many men, it does not shorten
their lives. Some experts advise screening only for men who are at high
risk. Talk with your doctor about whether screening is right for you.
should you call for help?
Watch closely for changes in your health, and
be sure to contact your doctor if:
- You have blood or pus in your
- Urinary symptoms, such as having trouble urinating, come on
quickly, last longer than 2 months, or are bad enough that you want
Where can you learn more?
http://www.kp.org Enter R550 in the
search box to learn more about "Prostate Cancer
Screening: After Your
This care instruction is for use with your licensed healthcare
professional. If you have questions about a medical condition or this
instruction, always ask your healthcare professional. Care instructions
adapted by Kaiser Permanente from Healthwise, Incorporated © 2008.
Healthwise disclaims any warranty or liability for your use of this