Document info 
Result type: CT Abdomen Triple Phase 
Result date: Jan 09, 2017, 01:22 p.m. 
Result status: authenticated 
Performed by:  
Modified by:  
Accession number: 


CT Abdomen Triple Phase 



Patient:  DOB:  


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CLINICAL INFORMATION: Cirrhosis with hepatitis C and HIV co-infection. 
EXAMINATION: CT Triple Phase Abdomen, 1/9/2017 1:00 PM, CT170004080 
COMPARISON: MRI abdomen with and without contrast, liver protocol, 7/28/2016 
FINDINGS: 
TECHNIQUE: Multiphasic imaging was performed in the precontrast, hepatic arterial, 
portal venous and equilibrium phases. Post contrast imaging was performed following 
the intravenous administration of 100 cc of Isovue 370 contrast. 

Dose Range Report. CTDIvol: 4.1 -35.2 mGy, DLP: 2145 mGy-cm 
All CT scans at this facility use dose modulation, iterative reconstruction, and/or 
weight-based dosing when appropriate to reduce radiation dose to as low as reasonably 
achievable. 


Vascular: Minimal atherosclerotic calcification is seen within the abdominal aorta without 
aneurysmal dilatation.
 
Hepatobiliary: Imaging findings of cirrhosis are seen with hepatic capsular nodularity. 
There is a surgical clip seen in the level of the hepatic dome. There is no focus of 
arterial phase enhancement or delayed washout to suggest hepatocellular carcinoma. 
Capsular retraction and heterogeneity in the central dome of the liver adjacent to the 
surgical clip demonstrates delayed enhancement and likely represents focal confluent 
fibrosis. Multiple dependently layering gallstones are seen in the gallbladder lumen. 

Spleen: unremarkable 

Pancreas: There is no pancreatic ductal dilatation or parenchymal lesion. 

Adrenal Glands: unremarkable 

Kidneys: There is no hydronephrosis. No solid renal lesions are identified. 

Abdominal Lymph Nodes: Subcentimeter gastrohepatic and periportal lymph nodes are 
seen which are likely reactive. 

Peritoneum/Bowel: Although the bowel is clearly imaged, there is no evidence of 
obstruction, free air or free fluid. 

Bones/Soft tissues/Other: Multiple wedge-shaped compression deformities are seen in 
the lumbar spine with posterior stabilizing rods spanning T11-L3. 

IMPRESSION: 

1. Imaging findings of cirrhosis without hepatocellular carcinoma. 
2. Cholelithiasis 
3. Thoracolumbar fusion with L1 compression deformity. 
This report was dictated at Workstation ID: PLA1131