Please explain my abdominal CT scan report in detail.

Question

Hello doctor,

A psychological stress-induced gut trauma and insult three years back resulted in a gut inflammation, distention, swelling with and without eating, malabsorption, disturbed gut flora, digestive issues, IBS, and bladder irritation. I am attaching some files. I am looking for a complete reading. Is there anything abnormal with my liver, kidneys, bladder, small intestine, large intestine, pancreas, or gall bladder? Are there any tumor, cancer signs, or organ issues? My gut is not the same anymore. Structurally, it is enlarged, swollen, and falls when I lay on a side, unlike three years back when it was always firm and flat. What is the reason behind this? I am a skinny person. I do not have fat on my body. The inflamed gut is out of shape for my normal body. Another thing I noticed in the CT scan, is that the small intestine is bundled up over the bladder, probably pushing against the bladder adding to the bladder irritation. Is it normal?

Answer 1

Hello,

Welcome to icliniq.com.

My observations are as follows:

The liver is normal sized, with smooth borders and normal attenuation values. No focal abnormalities are seen. There is no intra or extrahepatic biliary dilatation. The common bile duct is normal sized.
The gall bladder is normal sized and smooth walled. No radio dense calculus is seen in it. There is no pericholecystic fluid.
The pancreas presents a normal size with smooth borders. The parenchyma shows normal internal structure and attenuation values, with no hypo or hyperdense intra-pancreatic changes. No significant ductal dilatation or calcification is seen. Peripancreatic fat planes are preserved.
The spleen is of normal size and shape. It has a smooth outer contour and a homogeneous internal structure.
Both kidneys appear normal in size and position, with normal width and density of renal parenchyma. The calyces are of normal shape. The renal pelvis is normal and free of stones, and there is no obstruction of urinary drainage. The urinary bladder shows smooth outer contours and normal wall thickness. No intravesical mass or calculus is seen.
The bowels falling on the urinary bladder do not appear to be of any significance. There is no mass or cancer in the bowel and there is filling up of contrast in a normal way as expected. There is no obvious herniating bowel visualized.

Please write back if you have any doubts.