C T  SCAN  OF  UPPER  ABDOMEN


CLINICAL ;  UD  DM ,  empyema thoracis  R/O  disseminated melioidosis

FINDINGS;

A loblated hypoattenauting liver mass 4.1 × 5.9 × 4.8  cm  at  Segment 6/7 liver with peripheral nodular enhancement in Material

Phase and  centrpetal Filles in  delayed phase ; hepatic hemangioma is likely.

Normal attenuation of the  rest of liebe parenchyma.

The HVs, PVs and IVC are patent.

No IHD or CBD dilatation . Thin wall GB contains no srone.

The pancreas  , spleen and bilateral  adrenal  glands are unremarkable.

No abnormal bowel dilatation.

No ascites is presented.

Normal size of both kidneys without renal stones or hydroneohrosis.

Interstial and patchy infitration in LLL.

A rim enhancing collection  2.0 × 3.4 × 2.8 cm  at left liwer medial pleural cavity.

Collapse pleural collection with pleural thickening along left lower hemithorax with ICD is also seen.

Subsegmental atelectasis in RLL.

Degenerativ changes of the spines.



IMPRESSION:

- Hepatic hemangioma 4.1 × 5.9 × 4.8 cm  at segment 6/7 liver.

-  Interstial and patchy infiltration in LLL.

-  A rim enhacing collection 2.0 × 3.4 × 2.8 cm at left lower medial pleural cavity; DDx walled off empyema or lung

   abscess.

-  Collapse pleural collection with pleural thicken along  left lower hemithorax with IC.