60 -year-old female colon cancer status post resection. Please evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe measuring 5 .number 13, series number 5. Emphysema.MEDIASTINUM AND HILA: Cardiomegaly. Aortic valvular calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN:The study is limited due to lack of IV contrast. Focal liver lesions cannot be excluded based on this noncontrast study.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: . Subtle hyperdense lesion in the right kidney which cannot be optimally evaluated due to lack of IV contrast the likely complex cyst.RETROPERITONEUM, LYMPH NODES: Multiple borderline enlarged retroperitoneal lymph nodes. A reference left aortic lymph node measures 15 x 12 mm in image number 122, series number 80372.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace amount of perihepatic ascites.PELVIS:UTERUS, ADNEXAE: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Subcutaneous fluid collection along the incision containing air and with a thin wall measuring 11 x 8 cm consistent with an abscess. Diffuse inflammation of the subcutaneous fat in the anterior abdominal wall likely representing cellulitis.OTHER: No significant abnormality noted.
Limited study due to lack of IV contrast.Trace amount of ascites.Ill-defined hyperdensity in the lower pole of the right kidney likely representing a complex cyst, however, lack of IV contrast precludes further evaluation. Large anterior abdominal wall abscess with diffuse cellulitis.Borderline enlarged retroperitoneal lymph nodes. Follow-up imaging is recommended.Dr. Sharma was notified at the time of dictation.