CECT Abdomen Interpretation

Systematic Findings

• Liver is normal in size with smooth margins and homogeneous parenchymal enhancement.
• No focal hypoattenuating/hyperattenuating lesions, cysts, or hemangiomas identified.
• No intra- or extrahepatic biliary ductal dilatation (no IHBRD/EHBRD).
• Gallbladder appears normal - no wall thickening, calculi, or pericholecystic fluid.

• Normal in size and shape; homogeneous enhancement without focal lesions or collections.

• Normal morphology, size, and attenuation.
• Main pancreatic duct is not dilated.
• No peripancreatic fat stranding or fluid collections - no features of pancreatitis.

• Bilateral adrenal glands are normal in size, shape, and configuration. No nodules/masses.

• Both kidneys are normal in size, position, and orientation.
• Symmetric bilateral parenchymal enhancement and contrast excretion.
• No hydronephrosis, calculi, focal renal masses, or perinephric collections.

• Stomach and duodenum are unremarkable.
• Small bowel loops show normal caliber and wall thickness - no obstruction or wall thickening.
• Colon and rectum appear normal - no diverticulitis, wall thickening, or pericolic fat stranding.

• Abdominal aorta, IVC, portal vein, and splenic vein are patent with normal caliber.
• No aneurysmal dilatation, thrombosis, or significant atherosclerotic plaque.

• No free peritoneal fluid (no ascites).
• No pathologically enlarged retroperitoneal, mesenteric, or pelvic lymph nodes.
• Mesenteric and retroperitoneal fat planes are clean and well-preserved.

• Urinary bladder is partially distended with smooth walls - no intraluminal mass or calculi.
• Uterus and adnexa appear age-appropriate for a 71-year-old female with no large pelvic masses.

• Age-related degenerative changes (osteophytes) in lumbar spine and hip joints; no osteolytic or osteoblastic lesions.
• Visualized lung bases are clear - no pleural effusion or consolidation.

Impression

No acute intra-abdominal pathology identified.

• No organomegaly, focal mass lesions, biliary obstruction, bowel obstruction, lymphadenopathy, or free fluid/ascites.
• The study is essentially within normal limits for the patient's age.
• Mild degenerative musculoskeletal changes are incidental.