It's Only Fat!

Test:	CT Chest Abdomen Pelvis With Contrast
Resulted Date:	9/19/2012	Status:	Final Result

REASON FOR EXAM: Left flank mass, history of CML and right pelvic chondrosarcoma
After the administration of intravenous and oral contrast, spiral CT of the
chest, abdomen and pelvis was performed. Delayed images of the abdomen and
pelvis were also obtained. Axial plane images are reviewed in soft tissue, lung
and bone windows on computer workstation.  100 cc Isovue-370
Dose parameters for this examination:
number of series: 2
maximal CTDI 14.3 mGy
total DLP 1606.9 mGy-cm.
COMPARISON: 10/05/2011
FINDINGS: A skin marker was placed over the mass on the left flank. The mass
corresponds to a 4.2 x 3.9 x 9.6 cm fat density mass with a thin smooth
capsule. The lumen of the mass is homogeneous fat density. No enhancing
component is present. Similar mass was present on the previous study dated
10/05/2011.
Thoracic inlet is normal. No axillary lymphadenopathy.
Mediastinal structures are normal. Densely calcified mass in the right lower
lobe is stable. The lungs are otherwise clear. No infiltrate or pleural
effusion.
Air in the left hepatic duct is again noted. There is a small amount of air in
the common bile duct. Gallbladder is surgically absent. The pancreas, spleen,
adrenal glands and abdominal aorta are unremarkable. Vascular calcifications
are noted.
Small intestine and colon are within normal limits.
Previously identified surgical changes on the right side of the pelvis are
again noted. The right pubis and most of the right ischium have been removed
degenerative changes in the SI joints and lower lumbar spine are noted. No
lymphadenopathy. No inflammation or ascites.  Impression:   1. The left flank mass is most consistent with extra muscular lipoma.  2. Surgical changes in the pelvis  3. Old granulomatous disease