Diagnostic Imaging/CT Scan Report 2
Taylor McElvin
Patient Name
: Benjamin Engelhart
Patient ID
: 112592
Date of Birth
: 10/05/77
Age
: 46
Sex
: Male
CT scan Number
: 10-790031
Ordering Physician
: Alex McClure, MD
Procedure
: CT scan of abdomen and pelvis without contrast.
Date of Procedure
: 11/14/23
HISTORY: Right lower quadrant pain. No previous studies.
ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gail
bladder, adrenals, kidneys, pancreases, and abdominal aorta appeared
unremarkable. The bowels seen on the study appeared thickened. Dilated
appendix seen consistent with acute appendicitis. Structures of the abdomen
appeared unremarkable. No free air was seen.
PELVIS: Good quality non contrasted actual CT examination of the pelvis with
coronal reconstructions. The prostate, seminal fascicles, and urinary bladder
appeared WNL. The bowels seen on the study appeared WNL except for
inflammatory changes of the appendix and sacrum consistent with acute
appendicitis. Osteo structures of the pelvis appeared intact with evidence of
bilateral hip generative changes.
IMPRESSION:
1.
Findings consistent with acute appendicitis.
2.
The generative changes of the hips.
Paula Reedy, MD
PR: xx
D: 11/14/23
T: 11/14/23
