UPMC
LIFE CHANGING MEDICINE
200 Lothrop Street, Pittsburgh, PA 15213
Phone - 412-647-8762, 800-533-8762
800-UPMC(8762)
Patient Name : Miss Azalea Moura
þÿþÿen : Registration Date : 05/09/2023 1:07 pm
Referred By Dr. : Brianna Olson Collected Date : 06/09/2023 3:37 pm
Age / Sex : 29 Y / Female 5 Y / Male þÿþÿ
Visit Id : 21231840041
Sono Abdomen and Pelvis (Female)
ABDOMINOPELVIC ULTRASOUND SCAN REPORT
The liver is normal in size (spans 15.3cm), with regular outline and demonstrates
homogeneous echotexture, with mild increase in parenchymal echogenicity,
suggestive of grade 1 diffuse fatty liver. No focal mass lesion seen within the liver. The
porta hepatis is normal.
No intra or extra-hepatic ductal dilatation is seen.
The gallbladder is normal in size, content and wall thickness.
The spleen is normal in size (9.6cm in span) and echotexture.
The pancreas appears normal in dimensions and echotexture.
Both kidneys are normal in size (Right kidney - 12.7cm x 6.1cm, Left kidney- 11.8cm x
5.8cm), shape, outline and position. There is moderate dilatation of the pelvicalcyeal
system of the right kidney and the proximal ureter, with mild cortical thining and
moderate loss of cortcomedullary differentiation of the kidney, suggestive of grade 3
(moderate) hydroureteronephrosis. The left kidney shows minimal increase in
parenchymal echogenicity, with preserved corticomedullary differentiation. An
echogenic mass (7x5mm) with posterior acoustic shadowing is seen in the lower pole
of the left kidney, suggestive of left renal calculus. No left pelvicalyceal dilatation seen.
The visualized bowel loops are normal in calibre and peristalsis.
There is increased gaseous shadowing of the stomach and bowels.
The appendix was not visualized. No right iliac probe tenderness.
UPMC
LIFE CHANGING MEDICINE
200 Lothrop Street, Pittsburgh, PA 15213
Phone - 412-647-8762, 800-533-8762
800-UPMC(8762)
Patient Name : Miss Azalea Moura
þÿþÿen : Registration Date : 05/09/2023 1:07 pm
Referred By Dr. : Brianna Olson Collected Date : 06/09/2023 3:37 pm
þÿþÿce
Age / Sex : 29 Y / Female þÿ þÿþÿ
Visit Id : 21231840041
There is no ascites or para-aortic lymphadenopathy.
The urinary bladder shows good distension with echo-rich urine and normal wall
thickness (4mm). No calculus or mass lesion seen in situ.
Prostate gland is normal in size (3.1 x 2.9 x 4.1cm, vol. 19.3ml; corresponding to
19.3gm), with regular outline and demonstrates homogeneous parenchymal echoes.
Conclusion: Findings are suggestive of:
(1) Grade 1 (mild) diffuse hepatic steatosis.
(2) Right-sided obstructive uropathy due to ? ureterolithiasis.
[right grade 3 (moderate) hydroureteronephrosis].
(3) Left renal calculus [small non-obstructing nephrolithiasis].
Recommendation:
FLP, HbA1c, LFT, RFT, Stool occult blood, Urine MCS and CT KUB.
UPMC
LIFE CHANGING MEDICINE
200 Lothrop Street, Pittsburgh, PA 15213
Phone - 412-647-8762, 800-533-8762
800-UPMC(8762)
Patient Name Miss Azalea Moura
þÿþÿen : Registration Date : 05/09/2023 1:07 pm
Referred By Dr. : Brianna Olson Collected Date : 06/09/2023 3:37 pm
þÿþÿce
Age / Sex : 29 Y / Female þÿ þÿþÿ
Visit Id : 21231840041
þÿþÿ 21231840041
Dr. Brianna Olson
CT Abdomen and Pelvis
REPORT
Techniques:
Pre and post contrast axial slices, with coronal and
Sagittal reconstruction of the abdomen was done and reviewed.
Comparison: None
The liver is normally positioned with smooth borders.
It is enlarged in size, measuring 18.2 cm in craniocaudal span.
Its internal structure and attenuation values are normal.
The intrahepatic and extrahepatic bile ducts are unremarkable.
The gallbladder is otherwise preserved.
The spleen is orthotopic and of normal size.
It has smooth outer contours and a homogeneous internal structure.
The pancreas is normal in size, position, and internal structure with smooth outer contours.
UPMC
LIFE CHANGING MEDICINE
200 Lothrop Street, Pittsburgh, PA 15213
Phone - 412-647-8762, 800-533-8762
800-UPMC(8762)
Patient Name Miss Azalea Moura
þÿþÿen : Registration Date : 05/09/2023 1:07 pm
Referred By Dr. : Brianna Olson Collected Date : 06/09/2023 3:37 pm
þÿþÿce
Age / Sex : 29 Y / Female þÿ þÿþÿ
Visit Id : 21231840041
þÿþÿ 21231840041
The pancreatic duct is not obstructed.
The right kidney measures 12.0 x 6.8 cm
The left kidney measures 12 x 5.0 cm
A 7 x 5 mm calculus is seen in the medulla of the lower pole of the left kidney.
The right renal parenchyma is thin, with prompt uptake of
contrast but no excretion over 48 hours.
The left renal parenchyma shows normal thickness and enhancement
patterns, with prompt uptake and excretion of contrast bilaterally.
There is 9 x 8 mm calculus at the right ureterovessical junction,
associated with marked dilatation and tortouosity of the right ureter,
severe dilatation of the right renal pelvicalyceal system.
The left renal pelvis and calyces show normal configuration.
The left urinary drainage tract is not obstructed.
The adrenal glands are unremarkable.
UPMC
LIFE CHANGING MEDICINE
200 Lothrop Street, Pittsburgh, PA 15213
Phone - 412-647-8762, 800-533-8762
800-UPMC(8762)
Patient Name Miss Azalea Moura
þÿþÿen : Registration Date : 05/09/2023 1:07 pm
Referred By Dr. : Brianna Olson Collected Date : 06/09/2023 3:37 pm
þÿþÿce
Age / Sex : 29 Y / Female þÿ þÿþÿ
Visit Id : 21231840041
þÿþÿ 21231840041
The urinary bladder is normal in outline.
No mass is seen within it.
The prostate is normal in size with normal parenchymal density.
The bowel loops are normal in caliber.
No mass is seen within them.
Major blood vessels appear normal, and there is no evidence of lymphadenopathy.
Bony outlines are preserved.
Interpretation:
Hepatomegaly
Left renal stone
Right ureteric stone with severe right hydro-ureter and hydronephrosis
Correlate with clinical fidnings and follow up
Dr Anita Baghai Kermani, MD
Consultant Radiologist
