RIU 430 Lecture Notes - Lecture 2: Retroperitoneal Space, Abdominal Pain, Hepatomegaly
2 Dec 2020
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Document Summary
A woman in her late 50s presented with postprandial abdominal pain and bloating. She complained of constant right upper quadrant pain for 1 month and a recent loss of appetite, and she had suffered one recent episode of nausea. Medical history was negative for any malignancy or other disease. No lab results were available at the time of her examination. A right upper quadrant sonogram was performed using a toshiba aplio xv (tokyo, Borderline hepatomegaly was demonstrated with a measurement of 16. 3 cm (figure 1). Also noted were a 2-cm simple hepatic cyst and a small nonobstructing renal calculus in the upper pole of the right kidney. Because of the suspected hepatic enlargement, the spleen was also imaged. The spleen measured 12. 9 5. 7 12. 8 cm (figure 2), which is suggestive of mild splenomegaly. A complex, space-occupying, non shadowing lesion was seen within the organ measuring 6. 4 5. 3 5. 6 cm, with possible extension into the splenic hilum (figures 3 5).
