PLAIN AND ENHANCE CT SCAN OF WHOLE ABDOMEN WITH 3 MM TIHICKNESS
- Normal size liver
- Multiple ill -defined non-enhancing and some minimal rim enhancing hypodense lesions at both lobe liver, ranging from 0.4-3.0 cm in each size
- Normal GB and biliary system
- Normal pancreas, spleen, supra- renal regions, kidneys, psoas muscles, uterus
- Irregular thickening omentum, about 3.0 cm in maximum thickness
- septate cystic lesion with enhancing mural module in pelvic cavity, about 9.0 cm in size
- Few peri-aortic lymphadenopathies
- Atherosclerotic change of aorta and iliac arteries
- Moderate ascites
- Degenerative lumbar spines with spur. no bone destruction
- Normal both basal lung. no pleural effusion
IMPRESSION
- Suspected CA ovary
- Suspected carcinomatosis peritonei
- Lesions in liver as described. The DDx are metastasis, HCC, adenocarcinoma