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Explain the above report
Reading File
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Finding Sources
Finding Sources
Reading File
Here is a plain-language explanation of this CT scan report:
Report Overview
Patient: Mrs. Sunita Gupta, 57-year-old female
Scan Type: CECT (Contrast-Enhanced CT) Abdomen with Enterography
Date: 17 July 2026
Verified by: Dr. Lokesh Bajaj | Signed by: Dr. Vitesh Gaba (DNB Trainee)
Hospital: Amrita Institute of Medical Sciences & Research Centre, Faridabad
What Was Scanned and What Was Found
Liver - Normal
The liver is normal in size, shape, and how it takes up contrast dye. No tumors or suspicious spots were found. The bile ducts inside the liver (IHBR) and the common bile duct (CBD) are not blocked or widened - a good sign ruling out bile obstruction.
Gallbladder - Contracted (Notable)
The gallbladder appears shrunken/contracted. This is commonly seen after eating (physiological), but can also suggest chronic inflammation (chronic cholecystitis). No gallstones are specifically mentioned, though it is worth discussing with your doctor.
Pancreas - Key Finding: Possible Lipoma
The pancreas is otherwise normal in size and appearance. However, a 30 x 8 mm (roughly 3 cm) well-defined fatty lesion was found in the neck region (the middle part) of the pancreas. The radiologist describes this as a "? pancreatic lipoma" - meaning it looks like a pancreatic lipoma (a benign, fatty, non-cancerous growth). The pancreatic duct is not dilated, which is reassuring.
What is a pancreatic lipoma? According to Grainger & Allison's Diagnostic Radiology, pancreatic lipoma was once thought to be very rare but is actually not uncommon. It is a benign (non-cancerous) fatty growth. On CT, it shows a characteristic very low attenuation (dark appearance) due to its fat content. It is important to distinguish it from a cystic mass or cancer - and in this case, the CT attenuation pattern is consistent with fat, which is reassuring. No further urgent action is usually needed, but a follow-up or MRI may be advised to confirm.
Portal Vein and Major Blood Vessels - Normal
All major vessels including the portal vein (feeding the liver) and mesenteric vessels appear open and unobstructed.
Spleen - Normal
No enlarged spleen, no focal lesions.
Both Kidneys - Normal
Normal in size, shape, and position. No stones (no hyperdense calculus), no obstruction (no hydronephrosis), and no suspicious lesions.
Adrenal Glands - Normal
Both adrenal glands appear normal.
Mesentery - Notable Finding (Mild Inflammation)
Mild mesenteric fat stranding is seen along the mesenteric vessels and root of mesentery (the fatty tissue that supports the intestines), along with multiple small (subcentimetric) lymph nodes. This is the most clinically significant active finding. Fat stranding on CT means there is some local irritation or mild inflammation in the mesentery. The lymph nodes are small (less than 1 cm), so they are reactive in nature, not suspicious for malignancy. This finding can be seen with mild infection, inflammation, or early mesenteric adenitis.
Bowel Loops - Normal
The stomach, duodenum, ileocaecal (IC) junction, and large bowel are all normal and distended (well-filled, which is what you want for this type of scan called enterography).
Urinary Bladder - Normal
Uterus and Ovaries - Normal
No adnexal (ovarian/tube) mass lesion detected.
Major Vessels (IVC, Aorta) - Normal
No aneurysm or thrombosis.
No Ascites
No free fluid in the abdomen - a good finding.
Spine - Degenerative Changes
The visible portion of the spine shows degenerative changes, which is age-related wear and tear, expected in a 57-year-old.
Lung Bases - Atelectasis
Small, dependent (gravity-related) collapse of lung tissue at the bases of both lungs. This is a common, minor, and usually insignificant finding on abdominal CT - often seen when a patient is lying still during the scan.
Summary of Key Points (Impression)
| Finding | Significance |
|---|---|
| Fatty lesion in pancreatic neck (30x8mm) | Likely benign pancreatic lipoma - needs follow-up/MRI to confirm |
| Mild mesenteric fat stranding + small lymph nodes | Mild mesenteric inflammation - usually reactive/benign |
| Contracted gallbladder | May be post-meal or chronic cholecystitis |
| Degenerative spine changes | Age-related, not urgent |
| Lung base atelectasis | Minor, incidental finding |
| All other organs (liver, kidneys, spleen, bowel, vessels) | Normal |
What Should Happen Next
- Pancreatic lesion: The "? lipoma" notation means the radiologist suspects a lipoma but is not 100% certain. An MRI with chemical-shift imaging can definitively confirm fat content and rule out anything more serious.
- Mesenteric fat stranding: Your doctor should correlate this with your symptoms (abdominal pain, fever, etc.) to determine if treatment is needed.
- Gallbladder: Mention any symptoms like right upper abdominal pain after eating (could indicate chronic cholecystitis).
This report does not show any evidence of cancer, major infection, obstruction, or organ failure. The findings are generally reassuring, with two findings worth clinical follow-up.
Disclaimer: This explanation is for educational purposes. Please discuss the report with your treating physician for personalized medical advice.
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