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RADIOLOGY: ABDOMEN: Case# 33680: Patient is a 62 year old female with known metastatic breast cancer to bone, lungs, and skin. She recently had left sided hydronephrosis seen on outside CT and ultrasound from 5/7/98. She had a stent placement but following that had nausea and vomiting. Evaluate for resolution of hydronephrosis and bowel obstruction or other cause for nausea and vomiting. 1. Left ureteral stent with tip in the upper left renal pelvis but persistent moderately severe hydronephrosis with urine and contrast extravasation into the perirenal space. There is persistent ureteral dilatation down to the mid pelvis where there may be some debris or a small soft tissue mass in the distal ureter. 2. Left pleural thickening and small effusion as well as slight pericardial thickening and 1 cm indeterminate low density liver lesion consistent with the patients known metastatic breast carcinoma. 3. Gallstones in a otherwise normal gallbladder. 4. Moderate stool in the colon but no evidence of bowel obstruction.

Author

Peter Anderson

Posted on

Thursday 1 August 2013

Tags

abdomen, radiology

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• PEIR Radiology / Abdomen

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