Wilkes-Barre General Hospital – Thomas P. Saxton Medical Pav
Patient:CASTON, FRANCIS MRN:97766
DOB: 6/20/1962 Sex: Male
Location:PAWBTPS RA
Ordering Physician: COONEY, PRISCILLA NP
Computed Tomography
ACCESSION EXAM DATE/TIME
606-21-216-00055 8/4/2021 08:46 EDT
Reason For Exam
C49.A2-GASTROINTESTINAL STROMAL TUMOR OF STOMACH
Report
History: Gastrointestinal stromal tumor.
COMPARISON: CTs of the abdomen and pelvis dated January 18, 2021, July 21, 2020, January 9, 2020.
TECHNIQUE: Computed tomography of the abdomen and pelvis was performed following the
administration of 100 mL of Isovue 370 contrast and oral contrast. Delayed imaging through the kidneys was performed.
Study Dose: Dose lowering technique was utilized using a combination of automated exposure
control, adjustment of the mA and/or KV according to patient size and the use of iterative
reconstruction techniques..
FINDINGS: Please see report of dedicated CT of the chest performed concurrently and dictated
separately for comment on the lung bases.
The liver is mildly diminished in attenuation, consistent with hepatic steatosis. There is no
focal suspicious hepatic lesion. The gallbladder is present without evidence of intraluminal
radiopaque stones or pericholecystic inflammation. The spleen is stable in size. The adrenal
glands are normal in morphology. The pancreas is unremarkable without evidence of peripancreatic
inflammation or pancreatic ductal dilatation. Two simple cysts are seen at the lower pole of the
right kidney. The kidneys show no evidence of suspicious mass, hydronephrosis, or perinephric
fat stranding.
The stomach is nondistended. Small bowel loops are normal in caliber. A normal appendix is
seen in the right lower quadrant. The colon is remarkable for stable mild diverticulosis.
Circumferential soft tissue attenuation wall thickening is seen of distal descending and sigmoid
colon and is unchanged from multiple prior examinations and likely reflective of muscular
hypertrophy. There is no surrounding inflammatory fat stranding.
There is moderate atherosclerotic calcification of the abdominal aorta. There are stable
surgical clips seen between the stomach and pancreas. There is no mesenteric or retroperitoneal
lymphadenopathy. There is no abdominal ascites.
There is stable prostatomegaly. The urinary bladder is moderately distended without focal
abnormality. There is no pelvic mass, pelvic lymphadenopathy, or pelvic free fluid.
The imaged osseous structures of the abdomen and pelvis show no suspicious osseous lesion.
IMPRESSION:
1. No CT evidence of metastatic disease of the abdomen or pelvis.
2. Stable mild hepatic steatosis.
3. Stable colonic diverticulosis with stable circumferential soft tissue attenuation wall
thickening of the distal descending and sigmoid colon, likely reflective of muscular
hypertrophy.
4. Stable prostatomegaly.
5. Stable renal cysts.
Computed Tomography Report
6. Please see report of dedicated CT of the chest performed concurrently and dictated separately.
***** Final *****
Signed by: MCGINLEY, MOLLIE MD
Signed (Electronic Signature): 08/04/2021 03:42 pm EDT