14/ Llnitrtl fl._ Z3 Ur' Iv' BEVERLY TOWER WILSHIRE ADVANCED IMAGING CENTER 3750 BLVD. #1lZl0 BEVERLY CA 90111 . Date of Sonics: nosrouto Exam: (WIL) CIA WITH AND WITHOUT -- EXAMINATION: CTA ABDDMEN WITH AND WITHOUT CONTRAST Hypertension. None provided. Helical abdominal was performed with 125 cc 320 intravenous. contrast administration with review of sequential 1.25 mm axial roconstructlens from the dome of the diaphragm to the top of the iliac crests, including the level of the bilateral common lilac artery bifurcation. Additionally. pro infusion images of the abdomen were reviewed with sequential 5 mm axial reconstructions. Tho source images as well as the maximum intensity projection and reformatted lmagcs were reviewed. There Is no abdominal aortic aneurysm. The abdominal aorta opacifies and appears patent. Theron is contrast opacificatlon involving the main csllac and superior mesenteric srtanss which are patent as well so specification to the main which appear patent. There is also contrast opsoillcatlon soon in the inferior mesenteric artery. The bilateral common ilisc arteries opacity without aneurysm and patent. There is no abdorninfll aortic dissection. There is contrast specification or single bilateral main renal which are potent without evldonoo for stenosis or abnormal contour or bosdad appearance. The proximal abdominal aorta focally meosurild 2.1 at 2.1 cm, and at the mid portion just below the takoofl of the main renal artery is 1.6 1.9 cm, artdturthor infettorly above the bifurcation 1.6 alt 1.7 cm. The proximal main right renal artery just beyond its osiium measured 0.5 cm. and tho main left renal artery just beyond its oslium measured approximately 0.6 cm in diameters. The right kidney demonstrated a 0.2 ml calcification at its collecting system consistent with calculus. Both kidneys uptake of oonlrasl without The liver. spleen. Dancnsas. and adrenals appeared within rlonnal limits, and the bowel was obstructed, and no free air, or free fluid was seen. The spleen aposarocl top normal in size at 12.2 cm in a diameter. Mild ground glass opacity was noted dfiflelldefitlv in both pulmonary lower lobes, Isl'-t greater than right, which may represent mild change. Page 1 ofl r' so/at sass -- 93:31: in-we re, 23 2019 BEVERLY TOWER WILSHIRE ADVANCED IMAGING CENTER 3750 WILSIERE BLVD. mo Right adrenal is unremarkable. The left adrenal appears top nonml in thickness Gallbladder is phyeinlragicrally distended. IMPRESSIUN: 1. GT abdominal angiegram is within normal limits, and there its no evidence for renal arterial etanoeia identified, There la a tiny calculus invelving the right kidney without 2. Mild dependent and bilateral lower lobe pulmdnary dpaelties may represent mild eteleetetle type change. . End of dingnosuc n-pert far accession: Dictmed: I0 qv?e--meP-B15 Vl93'l7'I9 pain: Bbfic