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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal CT Shows Thickened GB Wall With Sludge, Pleural Thickening With Fibrotic Changes

CT: Abdomen Multiple contiguous 7 mm pre & post contrast obtained from the level of domes of diaphragm down to the pubic symhysis after opacification of bowel with oral contrast media. o GB appears distended (size 8.5 x 4cm) & thick walled (maximum wall . thickens J *) with peri GB inflammatory changes. Inflammation & h5geos^u*\q hprra{rar€een in contiguous Liver parenchyma iri Rt lobgevident as significant post contrast enhancemenboComparedto normal liver parenchymaM. inimal per GB fat strandings eenw ith no e/o any collection. GB lumens howa vg attenuationo f 23 slo sledgein lumen. Liver appears normal in size, shape & texture. Portal & biliary radicals appeanr ormal.I ntra hepaticI VC appearn ormal.I nflammatoryc hangess een adjacentto G fossai n Rt. lobe. CBD:- Smoothw alls, CBD diameteris within normall imits. Pancreas:N- ormal in size,s hapea nd texture.N o focal lesion seen.M PD is within normal limits. Aorta and Para aortic areas are normal. Spleen:-n ormali n size,s hapea ndt exture. Both Kidneys:- nonnal in size, cortical thickness within normal limits, no focal lesions eenN. o freef luid / LAP seen. Bowel loopsn ormali n caliber& wall thicknessN. o focal lesions een. CONCLUSION:- F/S/O * Thickened GB wall with sludge . Rt. pleural thickening with fibrotic changes.
Sat, 12 Apr 2014
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General & Family Physician,  's  Response
These are signs of some active or healed infective pathology.The infection of tuberculosis is required to be ruled out particularly with other investigations as well as clinical correlations.
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Abdominal CT Shows Thickened GB Wall With Sludge, Pleural Thickening With Fibrotic Changes

These are signs of some active or healed infective pathology.The infection of tuberculosis is required to be ruled out particularly with other investigations as well as clinical correlations.