• question-icon

    What does my CT scan test report indicate?

Posted on Thu, 26 May 2016 in Urinary and Bladder Problems
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
- Dictated By:
- And Verified By: Negussie, Edsa Mehary MD
- Electronically Signed Date: 03/15/16 12:38
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
You have partially obstrcting stone of size of 1.2 cms in Rt Renal Pelvis.

Detailed Answer:
Thanks for your query,based on the facts and report of your C.T Scan that you have posted it appears that you have partially obstructing stone of a size of 1.2 cms in Rt renal pelvis .

Stones are always detected on C.T without contrast and C.T with contrast reveals details about the mass in kidney or collecting system which in your case is negative .(No mass lesion is detected ).

You need not worry at all the stone that you have can be fragmented by a procedure called Extra Corporeal Shock Wave Lithotripsy (ESWL).

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. P. T. Patil


Practicing since :1971

Answered : 10189 Questions


The User accepted the expert's answer

Share on

Recent questions on  Abdominal aorta

doctor1 MD

Hi my name is XXXXXXX i had a CT scan of my lower abdomen and pelvis because my annual physical revealed hematuria . The thing that concerned me...

doctor1 MD

I have swollen ankles and for over a month now, small itchy blister like bumps that break open and weep, and a dirty brown discoloration around my...

doctor1 MD

Hi, Can you please explain what the following MRI report means (and ultrasounds) re: my liver and gallbladder (t2 hyperintensive progressive...

doctor1 MD

EXAMINATION: Ultrasound abdomen complete INDICATION: Epigastric fullness, bloating and right and left upper quadrant pain. COMPARISON: None....

doctor1 MD

my daughter is 8 years old. her CT SCAN report is - approx 187x133x108mm sized well defined heterogenously enhancing mass lession showing...

doctor1 MD

I have been having severe abdominal discomfort, spasms and discomfort upper mid back following a meal, nausea and occasional wretching even after...

doctor1 MD

Discovered an ulcerated lump this am on left side. Had Chemo in 2009 for Non-Hodgkins Lymphoma; large mass in left lower area of Pelvic cavity...

Get personalised answers from verified doctor in minutes across 80+ specialties

154 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. P. T. Patil
  • Q - Have stomach pain, fever and loose stool. On omniprzole and ciplox. Any...

  • Q - Have had cyst removed from lips and noticed rigidness. Will it cure on...

  • Q - On medication for BP, body pain and frequent urination. Getting weakness...

  • Q - Having pain in testicle and noticed dark skin on it. What to do?

  • Q - Took medication for neurological problem and never had a desire for...

  • Q - Experiencing prolonged menstrual periods. What to do?

  • Q - Have increase frequency and urgency of urination. Any treatment?

  • Q - Why does my penis look small when not erect?

  • Q - Having on and off mouth ulcer. What is causing this and how to get rid...

  • Q - Noticed movable lump on the side of abdomen. What could it be?