Radio Graphic Report February 28
Radio Graphic Report February 28
Scout film shows a huge mass at the right hemiabdomen displacing the minimally gas filled bowel loops to the contralateral side. The psoas shadow are obscured. Flank stripes are distinct. A calcific density measuring 1.0 x 3 cm is seen at the left paralumbar area, level of L5. Subsequent films taken after IV introduction of contrast medium show there is prompt nephrogram affect with satisfactory opacification of the left pelvocalyceal system. The left kidney measuring 14.0 x 6.5 cm. There is opacification of the right Ureter distal to the calcific density seen in the left paralumbar area which appears to be stones in the right pelvis or proximal Ureter. There is no nephrogram effect on the right kidney within 24hours relayed study. The left ureter runs normal coarse with normal calibre. Fullbladder study shows moderately distended urinary bladder no mass or filling defect seen. Post void or film shows minimal contrast retention The previously calcific density is seen in the same position all throughout the study. Impression: Poorly functioning marked hydronephotic right kidney secondary to an obstructing stone in the renal pelvis or proximal ureter. Normally functioning left kidney.
No evidence of active parenchymal infiltrates Heart size is difficult to assess Aorta is tortuous Trachea is at the midline Elevated right hemidiaphragm with blunting Left hemidiaphragm is unremarkable Right costophrenic sulcus is blunted Left costophrenic sulcus is unremarkable The visualized osseous structures are intact Impression: Pleural effusion with large subpulmonic effusion Differential diagnosis is subdiaphragmatic pathology is considered