My Abdominal Ultrasound – Dec. 2020

 

Examination Performed: US ABDOMEN
Exam Completion Date: 05/12/2020 12:08

CLINICAL INDICATION:
Abnormal LFTs.

FINDINGS:

12 cm x 10 cm x 6 cm hypoechoic relatively well-circumscribed abnormality centred on the mesentery. The mesenteric vessels traverse the lesion without distortion. This may have been present on prior ultrasound in December 2016 (see image 4).

Echogenic and heterogenous liver echotexture compatible with hepatic steatosis. No focal liver lesion identified. The gallbladder was not visualised. Markedly dilated CBD measuring approximately 24 mm in calibre. Normal spleen. Unremarkable visualised pancreatic head. Both kidneys are normal in size. No hydronephrosis or suspicious renal mass. The abdominal aorta is normal in calibre.

IMPRESSION:
12 cm mesenteric mass. I favour the diagnosis of mesenteric panniculitis or sclerosing mesenteritis however the differential includes malignancy such as lymphoma. No previous CT available on NIMIS or GUH PACS. Advise semi-urgent CT abdomen/pelvis to further evaluate.

PeerVue alert initiated.

ChatGPT said:

The red box in the image highlights the suspicious mesenteric region, which appears denser and slightly nodular compared to surrounding fat. This may represent:

Observations:

• A mesenteric mass
• Conglomerated lymph nodes
• Possibly early inflammatory or neoplastic changes
  
  Central Mesentery: There is an area of increased soft tissue density in the midline anterior to the aorta and spine, within the mesenteric fat. It appears slightly nodular and distinct from the surrounding fat, which raises suspicion for a mesenteric mass or lymphadenopathy.
• Bowel Loops: There is some crowding of the small bowel loops near this region, but no clear signs of obstruction, free air, or gross bowel wall thickening in this single slice.
• No Obvious Calcifications or Cystic Changes in the suspicious area.
  
  
  
  

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