Received separately is a short segment of bowel 15mm long and 20mm in diameter. Macroscopic description 'Bowel': A subtotal colectomy specimen including a segment of large bowel 625mm long, up to 60mm in diameter. The patient proceeded to subtotal colectomy. Two hyperdense lesions within the right kidney likely represent hemorrhagic cysts. Endoscopic evaluation should be considered.īilateral polycystic kidneys. Mild upstream distension of the colon, suggests this is at least partially obstructing. The pancreas, spleen and adrenal glands have an unremarkable appearance on non-contrast imaging.Ĭircumferential mural thickening of the splenic flexure with surrounding fat stranding, is concerning for a colonic tumor. Possible subcentimeter stone within the neck of the gallbladder. Tiny calcified granuloma noted within segment 6 of the liver. There is a 16 mm region of irregular hypodensity within the posterior aspect of segment 3. There is also a smaller subcentimeter cyst within segment 2. Within segment 3 of the liver, immediately adjacent to the falciform ligament, there is a 14 mm rounded hypodensity that demonstrates water attenuation. Within the right kidney, there are 8 mm and 14 mm rounded hyperdensities that do not however demonstrate fluid attenuation. There are innumerable bilateral renal cysts, almost all of them demonstrating simple water attenuation. There are only scattered sigmoid diverticula, with no evidence of diverticulitis. The small bowel has an unremarkable appearance with no evidence of small bowel distension. Surrounding this thickening, there is associated stranding of the pericolic fat. Distal to this, caliber of the remaining colon is normal. Immediately upstream of this thickening, the large bowel is mildly distended up to 6 cm. Volume acquisition through the abdomen and pelvis has been obtained with oral contrast only due to poor renal function.Īt the level of the splenic flexure, there is a 4 cm segment of circumferentially thickened colon, with a single focus of mural calcification.

Ct flexture