Female patient which history of fibrocystic breast surgery, gallbladder remove and appendix remove, underwent multiple in order to rule out migrated foreign body from previous surgery and ruptured residual bowel laceration. There was no evidence of foreign body, but the examinations found diverticulosis in the colon, hypodense lesion in the uterus with uterine myoma, and mural calcifications in the aorta and iliac arteries.
2.2008 – TRANSVAGINAL US
3.2008 – CXR – NORMAL
3.2008 – CT OF THE CHEST WITH I.V. CONTRAST – NORMAL.
7.2008 – CT OF THE ABDOMEN AND PELVIS WITHOUT CONTRAST
8.2008 – MRI OF THE ABDOMEN.
THE PATIENT HAD FIBROCYSTIC BREAST SURGERY IN 1994, GALLBLADDER REMOVE IN 1994, APPENDIX REMOVE IN 2005. THE CT AND THE MRI OF THE ABDOMEN WERE PERFORMED TO RULE OUT FOREIGN BODY OR MIGRATED FOREIGN BODY FROM PREVIOUS APPENDIX SURGERY + RUPTURED RESIDUAL BOWEL LACERATION (PREVIOUS PACKING GAUZE).
I REVIEWED SEVERAL EXAMINATIONS OF THIS PATIENT.
HERE IS MY OPINION ABOUT THESE 2 EXAMINATIONS:
THERE ARE SURGICAL CLIPS AT THE ROOT OF THE REMOVED APPENDIX AND AT SITE OF CHOLECYSTECTOMY.
THERE IS NO EVIDENCE OF FOREIGN BODY OF ANY SORT.
MULTIPLE SMALL DIVERTICULA EXIST IN THE COLON – DIVERTICULOSIS WITH NO EVIDENCE OF DIVERTICULITIS. THERE IS A HYPODENCE LESION IN THE UTERUS 3.2 cm IN DIAMETER COMPATIBLE WITH UTERINE MYOMA.
MINIMAL MURAL CALCIFICATIONS IN THE AORTA AND ILIAC ARTERIES.
THE REST OF THE ABDOMINAL AND PELVIC ORGANS ARE WITHIN NORMAL LIMITS.