Question: I recently had a CT scan due to right flank pain and recurrent uti. I wondered if the portion under the contracts referencing a suspicious unidentified mass could be explained. Does this mean the kidney stone could not be identified on that portion of the test but it was identified without contrast or is this two separate items. A kidney stone and a suspicious mass.

Also do you see any other concerns. I am a 52 year old woman.

- Result Type: CT Urogram
- Date of Service: 03/14/2016
- Result Status: F
- Result Title: CT Urogram
- - Encounter Info: XRY PH, REFERRED PRIVATE, 03/14/2016 - 03/14/2016
- .
See Below For Report
- Clinical history: Low back pain. Urinary tract infection. R31.2.
- CT urogram was performed with pre and post contrast axial images through the
- abdomen and pelvis supplemented by coronal and sagittal reformatted images. In
- addition, volume rendered and 3-dimensional MIPS images were reformatted at an
- independent workstation.
- DLP: 2849.84 mGy-cm. Automatic Exposure Control and weight based dose
- reduction software were used.
- Direct correlation is made with ultrasound of the kidneys dated 2/8/2016.
- FINDINGS: Patchy atelectasis are noted in the imaged lung bases. No pleural or
- pericardial effusion.
- NONCONTRAST ENHANCED STUDY: Within the right renal pelvis, there is a 1.2 x
- 1.0 cm partially obstructing calculus associated with mild to moderate
- pelvicalyceal dilation. No other abnormal calcification is seen on either
- side, normal-sized bilateral ureters or in the urinary bladder.
- There is no biliary or pancreatic ductal dilation, calcified gallstone or
- discrete adrenal nodule. Bilateral adrenal glands are thickened. The spleen is
- normal in size. No dilated bowel loops. The uterus is present. Bilateral
- adnexa a appear unremarkable. There is no free or loculated fluid collection.
- CONTRAST ENHANCED STUDY: There is symmetric renal enhancement and contrast
- excretion around the above-described calculus. Mild urothelial thickening is
- present in the right renal pelvis. A suspicious renal mass is not identified.
- There is no filling defect in the calyces, left renal pelvis or the ureters.
- The urinary bladder appears normal.
- There is no abnormal enhancement in the liver, spleen or the pancreas. No
- enlarged lymph nodes. The abdominal aorta is normal in caliber and
- demonstrates mild calcified plaque in its infrarenal segment extending into
- the common iliac arteries. Mild caudal descent of the urinary bladder is
- present.
- IMPRESSION: There is a 1.2 cm partially obstructing calculus in the right
- renal pelvis resulting in moderate pelvicalyceal dilation.
- Workstation:MIDETPHBA221325
- FINAL
- Dictated By:
- And Verified By: Negussie, Edsa Mehary MD
- Electronically Signed Date: 03/15/16 12:38