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Shaukat Khanum Memorial Cancer Hospital & Research Centre

Johar Town, Lahore, Pakistan Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198


Email: info@skm.org.pk, Website: www.shaukatkhanum.org.pk

Department of Radiology
PDF: 27-Aug-2020 16:42:55 CT Scan Report Page 1 of 1

MRNO : 001-80003009547 Order By : Zeshan Shabbir Sipra Dr.


Dept Ref# : 20-0070885 Referring Physician : Dr Saleem A.Jafri
Name : Nouman Ahmad In-house Consultant :
Age/Sex : 19 Year(s)/Male Destination(s) of Report : Main Reception Skdc Liberty
Phone : 92 0302 4424407 Request Date : 27-Aug-2020 12:40:37 PM

Address : h #346-d1, muhallah nespak hosuing society, LAHORE - PAKISTAN Perform Date : 27-Aug-2020 02:18:55 PM
Report Date : 27-Aug-2020 04:38:39 PM
CNIC# : 35202-7203208-1

CPT : CT ABDOMEN, PELVIS WITH AND WITHOUT CONTRAST

HISTORY : Current clinical complaint/indication: Right lumbar pain for 15 days associated with fever with rigors.
On outside ultrasound: 5.2 x 4.4 cm echogenic area in right kidney.
Physician advised CT abdomen pelvis for further evaluation (renal mass protocol).
Any background illness/allergies: No comorbs.
Past procedures/treatment Not significant.
REPORT : Non-contrast, arterial, venous and delayed phases have been acquired through abdomen and pelvis.

Abnormality is centered over posterior cortex of right kidney measuring 7.3 x 6.3 cm on axial images
and 7.4 cm craniocaudally. This comprises of solid and cystic component. The cystic component is
loculated. The solid component enhances in the postcontrast phases with no washout. Adjacent fat
stranding is also seen. The appearance alongwith history of fever is in keeping with perinephric
abscess extending into right psoas muscle. No renal stone disease. Remainder of right kidney is
unremarkable.

Unremarkable appearance of left kidney. No renal vein thrombosis. No enlarged retroperitoneal lymph
nodes. No ascites or peritoneal disease.

Normal appearance of liver with no focal lesion. No biliary dilatation. Patent portal vein. Unremarkable
appearance of gallbladder, pancreas, spleen, adrenals and left kidney.

Included lung bases are unremarkable with no nodule, confluent consolidation or pleural effusion. No
destructive bony lesion.
CONCLUSION : Solid cystic lesion centered over posterior cortex of right kidney extending into perinephric space and
right psoas muscle is likely to represent perinephric abscess. This is amenable for image-guided
drainage if required. This will also require followup imaging following course of treatment to ensure
resolution of changes and to exclude any underlying sinister pathology.

AAMER IFTIKHAR DR.

Electronically verified report,no signature(s) required.


IMRAN KHALID NIAZI DR. KASHIF SIDDIQUE DR. ISLAH UD DIN DR. ANIS UR REHMAN DR. M. ATIF NAVEED DR.
FCPS, FRCR(UK) FCPS, FRCR(UK) MD. MRCP. FRCR. MBBS , FCPS , FRCR(UK) MBBS, MD, DABR (USA)
Consultant Radiologist Consultant Radiologist Consultant Radiologist Consultant Radiologist Consultant Radiologist
AAMER IFTIKHAR DR.
MBBS, MRCS (UK), FRCR
(UK) Consultant
Radiologist

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