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Explain this report;
Reading File
analyse_media
Here is a plain-language explanation of this CT report:
Report Overview
Patient: M S Rahman, 25-year-old male
Test done: CT Urography with Contrast (a special CT scan of the urinary tract)
Done at: AIIMS Patna, Department of Radiodiagnosis
Scan date: 29 July 2026 | Report date: 02 August 2026
Referring dept: Urology
What is CT Urography?
A CT Urography is an advanced X-ray scan that uses contrast dye (injected into a vein) to get detailed images of the kidneys, ureters (tubes from kidney to bladder), and urinary bladder. The scan was done on a high-resolution 256-slice scanner in multiple phases to track how the dye flows through the urinary system.
What the Scan Found (Findings)
Kidneys - NORMAL
- Right kidney: Measures 9.5 x 5.1 cm - normal size, shape, and position
- Left kidney: Measures 9.9 x 4.9 cm - normal size, shape, and position
- Both kidneys have:
- Normal cortical (outer layer) thickness
- No dilated collecting system (PCS not dilated - no blockage)
- No kidney stones (no hyperdense calculus)
- Normal blood flow and function (normal enhancement and excretory pattern)
Ureter - NORMAL
- Both ureters appear normal - no blockage or stones
Urinary Bladder - SLIGHTLY DISTENDED (full), but normal wall thickness
- The bladder appeared full/distended during the scan, which is usually normal (patient may not have urinated before the scan) - the wall thickness is normal, meaning no thickening or tumor
Abdomen - NORMAL
- Liver, spleen, and pancreas: normal size, shape, and outline
- Stomach and bowel loops: normal wall thickness
- No fluid in the abdomen (no ascites)
- No fluid around the lungs (no pleural effusion)
- Bones (pelvis and lumbar spine): normal - no lytic (destructive) or sclerotic (hardening) lesions
KEY FINDING - Lymph Nodes
"Multiple homogeneously enhancing mesenteric lymph nodes are seen; the largest is 9 mm in short-axis diameter (SAD) in the right iliac fossa."
This is the only abnormal finding. Multiple small lymph nodes in the mesentery (the tissue that holds the intestines) and in the right iliac fossa (lower right abdomen) are mildly enlarged. The largest measures 9 mm.
Impression (Diagnosis)
Mesenteric Lymphadenopathy
This means enlargement of the lymph nodes in the mesentery (abdomen). In plain terms, the lymph nodes in the belly are slightly swollen.
What Does This Mean?
Mesenteric lymphadenopathy in a 25-year-old male has several common causes:
| Cause | Notes |
|---|---|
| Infection (most common) | Bacterial (TB, Yersinia), viral (EBV, CMV), parasitic |
| Gastrointestinal inflammation | Crohn's disease, appendicitis (right iliac fossa!) |
| Mesenteric adenitis | Benign inflammation, often after a gut infection |
| Lymphoma | Less common but must be ruled out in young adults |
Important: The 9 mm size is mildly enlarged (normal is usually < 10 mm in SAD). The nodes are described as "homogeneously enhancing," which is a somewhat reassuring feature (heterogeneous/necrotic nodes would be more worrying for TB or lymphoma).
What Should Be Done Next?
The report itself advises "clinical correlation" - meaning the doctor needs to connect these CT findings with the patient's symptoms (e.g., abdominal pain, fever, weight loss, etc.).
The urologist will likely:
- Review symptoms - especially right lower abdominal pain, fever, or any bowel complaints
- Order blood tests - CBC, ESR, CRP, LDH, and possibly TB workup (Mantoux/IGRA)
- Consider gastroenterology referral if bowel disease is suspected
- Follow-up CT or biopsy if lymph nodes do not resolve
In summary: The kidneys and urinary tract are entirely normal. The only finding is mildly swollen abdominal lymph nodes, which is called mesenteric lymphadenopathy. This is a non-specific finding that needs further clinical evaluation to find the underlying cause.
Any major issue
No Major Issue
The short answer: No, there is no major or life-threatening finding in this report.
Here is a quick summary of what matters:
✅ Everything Normal
- Both kidneys - completely normal
- No kidney stones
- No blockage in the urinary tract
- Bladder - normal
- Liver, spleen, pancreas - normal
- No fluid in abdomen or around lungs
- No bone abnormalities
⚠️ The Only Finding - Mildly Swollen Lymph Nodes
- Multiple lymph nodes in the abdomen, largest 9 mm
- This is borderline size (normal is under 10 mm)
- They appear homogeneous (uniform) - which is a reassuring sign, meaning no signs of abscess, necrosis, or aggressive behavior
Is It Serious?
In a 25-year-old, this is most commonly caused by:
- A recent or ongoing gut infection (very common, often resolves on its own)
- Mesenteric adenitis - essentially a "cold in the belly lymph nodes," benign and self-limiting
- Less likely but worth ruling out: TB (especially relevant in India) or lymphoma
The key question is: What are the patient's symptoms?
| Symptoms | Likely Cause |
|---|---|
| Mild abdominal pain, recent diarrhea/fever | Infection / mesenteric adenitis (benign) |
| Prolonged fever, night sweats, weight loss | TB lymphadenitis - needs workup |
| Painless swelling elsewhere, fatigue | Lymphoma - needs workup |
| No symptoms at all | Likely incidental / old infection |
Bottom Line
This is not an emergency. The urinary system (which was the reason for the scan) is perfectly normal. The lymph node finding is mild and most likely benign in a young person, but the treating doctor should correlate it with symptoms and possibly order a few blood tests (CBC, ESR, CRP, TB tests) to be sure. A follow-up scan in 6-8 weeks may also be suggested to check if the nodes are shrinking or growing.
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