Case #55

Case #53

• Lower chest
  • Small hiatal hernia with mild circumferential mural thickening of the lower thoracic esophagus and layering fluid
• Abdomen/Pelvis
  • Diverticulum at the junction of the second and third segments of the duodenum with mural thickening/hyperenhancement and surrounding fat stranding in the anterior pararenal space
  • Additional larger diverticulum arising from the third segment of the duodenum without inflammatory changes
  • Extensive colonic diverticulosis, particularly involving the sigmoid colon with mild increased attenuation in the fat surrounding the sigmoid colon
  • Bilateral renal cysts and additional subcentimeter hypodensities which are too small to characterize
  • Surgical clips in the subhepatic region
  • Right ureter slightly loops into the right inguinal canal without dilation or radiopaque calculi
  • Trabeculated bladder wall with a 2.5 cm diverticulum arising from the right aspect of the dome and additional smaller diverticula
  • Prostatomegaly
  • Mild atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
• MSK
  • No acute findings
  • Polyarticular degenerative changes
  • Left L5 pars defect without spondylolisthesis

• Duodenal diverticulitis