Q. How accurate is a CT scan in diagnosing the problems of the abdomen and pelvis?

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 17, 2023 and last reviewed on: Mar 22, 2023

Hi doctor,

I want a complete review of my CT scan images (abdomen and pelvis contrast) and a detailed report of all the findings.

Please advice.



Welcome to

I understand your concern.

After reviewing the CT (computed tomography) abdomen and pelvis scan (non-contrast), my findings are the following. A defect measuring approximately 10 mm in diameter along the left lower chest/ upper abdominal wall muscles laterally between the left 10th and 11th ribs. Herniation of fat extends to the muscle plane and inferiorly for a distance measuring 70 mm. There are few likely neurovascular structures in the upper part of the herniation distal to the neck of the hernia. A differential diagnosis of the above findings might include but is not limited to fat-containing likely benign neoplasm or lipoma in the area. The liver, gallbladder, spleen, pancreas, and kidneys are normal. The stomach and intestines are normal. The urinary bladder and prostate gland are normal. The lumbar vertebrae are normal.


Hi doctor,

Thanks for your reply.

What is the location of herniation of fat extending to a muscle plane of about 7 cm? Is this what is causing my LLQ abdominal wall pain? Also, what about the abdomen tissues and muscles? Are there any other findings connected to my pain?



Welcome back to

The findings mentioned are likely causing pain in the left lower abdomen. The fat herniating between the abdominal wall muscles might irritate nerves in the area and cause pain. The fat in the hernia is abutting the adjacent muscles. There is no muscle tissue damage.


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