Tegt No UHN AMU MEStARCH

C Catatk
CENTRE 2
Rogd No i
RSEAKG CENTRE
0ad
233/2
PC
Negr BoTbayiHot.et utt.ack
PNOT

753G023
sn 17, Mub 0g0140029
RASANNANAYA AGE
49YRS SEX MALE
CT SCAN DATE /03/22

nHi seriat \iai Seans

wnOLE ABDOMEN(TLAIN
ABDON &CONTRASTSTUDY
Are R
wmer . sadthe Rowel with Oral Contrast and Then V.
REPORT
large heterogeneous
soft
inn
posterior wall & low
olv ing low attent
musele R eitending to of aseending
size around 147 x 160 x 102 mm is seen
ation SOL of:

ding colon & cecum & adjacent retroperitoneum & right psoas
.

luminal narrowing. On posterior

10r abdominal wall involving muscle plane & causing colonic
within colon contrast
showving well
Study, small lobulated soft tissue density component anteriorly
homos
psoas muscle & eneous enhancement & large posterior component involving
enhancing low posterior abdominal
attenuat ominal
w showing thick
wall
wall enhancement with central non-
retroperitoneum & subeuta.d soft tissue density stranding is seen in adjacent pericolonic.
B wall is mildly utaneous fat.
Small calcific foci diffusely
are seen
thickened:
in
Mild degenerative prostate.
changes seen in
No obvious lytic
/sclerotic lesion in visualized D-L spinc
No obvious soft tissue visualized bones.
density nodules
size and ite euu fayvisualised
in
he iver shows a normal lung
ce ic gmooth. Intra hepatic biliary
normal in anatonmy. and portal radicals are

CBD and intrahepalic biliary passages are

Gall bladder is nornmal; its lumen normal.
shows no obvious calcified calculi or mass lesion.
Spienic àtlenuation and anatomy is normal. The
splenic and portal veins are normal.
Both kidneys shoW normal attenuation
and corticomedullary distinction. No
esion seen.
hydronephrosis or
foca
Pancreas show normal atternuation and ize. Peripancreatic fat & fascial
planes are normal.
oevidence of ascitis, para-aortic or any other setroperitoneal lymphadenopathy.
Both adrenal gland regions are normal.
Stomach shows normal wall thickness, muCOsal pattern and distensibility
Great vessels in scanned region show no abnormality.
No peritoneal free fluid or eneysted collection noted.

No pleural/subphrenic collection/free air visualized.

density and capsule normal
are
TOStale Size,
visualized.
fluid or nass
No pelvic
are noral.
musculature and bones
Pelvic fasciaI
and fat
planes sh
planes show
Perivesical, perirectal
and presacral no
abnormality.

DHY, 4D COLOLup n s
 PM RESEARCH CENTRE
G
SRARCH CRNTRE
CE Rent NO
CAN AND
Alatk 733/2 n2 Hotel Cuttack753
PC PNOT Regd No
003
ornbay
E 7 1 295??17,Mo
r 9090140029

REF. DOCTOR
PRASANNANAY AK AGk4YKS SEX MALL

CT.SCAN WIOLE.ABDoME &

DATE
CONTRASTSTUDY
/03/22

ontiguous serial Axial

Seans Are MEN(PLAIN
ntrast n
multislhce MDCT: with Oral Contrast and Then I.V.
Bowel
Ch
ahNerrded after Labclclling tlhe
REPORT
large heterogeneous
involving posterior wallsoft &0 attenuation SOL of size
around 147 x 160 x 102mm is seen
musele & extendingof as cecum
& adjacent
retroperitoneum & right psoas
colon &
plane & causing colonic
luminal narrowing. On abdominal wall
involving muscle

within colon contrast

showing well
soft
Study, small lobulated
tissue density component anteriorly
posterior component involving
as muscle & hormoger
"eneous enhancement
posterior abdomin
& large

thick wall enhancement with central non-

enhancing low
tenuation. minal showing
wall
IS in adjacent pericolonic.
Mild stranding seen

retroperitoneum subeutaneous fat.

UB wall is mildly
&
ud
soft
f
tissu density
tissue

diffusely thickengdt
Small calcific foci are seen in
Mild prostate.
degenerative changes seen in visualized D-L
No obvious lytic /selerotic lesion in spine
No obvious soft tissue density
visualized bones.
nodules in visualised lung
T h e liver shows a normal size and its curface is smooth. Intra hepatic biliary and portal radicals are

normal in anatomy.
. CBD and intrahepalic biliary passages are normal.
Gall bladder is normal; its lumen shows no obvious calcified calculi or mass lesion.
normal.
Spienic aenuation and anatomy is normal. The splenic and portal veins
are

No hydronephrosis or focal
Both kidneys show normal attenuation and corticomedullary distinction.
lesion seen.
fat & fascial planes are normal.
Pancreas show normal attenuation andsize. Peripancreatic

N o evidence of ascitis, para-aortic or any othersetroperitoneal lymphadenopathy.

gland regions are normal.
Both adrenal
and distensibility
Stomach shows normal
wall thickness,mucOsal pattern

Great vessels in scanned region show no abnormality.

collection noted.
fluid or encysted
No peritoneal free
collection/free airvisualized
NO pleural / subphrenie normal.
and capsule are
Prostate size, density
visualized.
or mass
No pelvic fluid are
normal.
and bones ascial and fat planes show no abnormality.
fascialand
musculature
Pelvic
presacral
and
Perivesical, perirectala

APHY 4D COLOUR DOPPLER,ECHO

ENDOSCc
CARDIOGRAPHY,
ECHO CARDIOG
C T SCAN. ULTRA TRERA,
BERA,EE G, ENDOSCOPY, COLONOscOPY,PATHOLOGY
EEG,
G
RESKARGH CENTRER
Reqd NO.
ep

esi
AN ANDRESEARCHCENTA
CECOMar 23
uOR DK-233/2020
dNear BompayE
bay HotelzCuttack7531003
PCPNOT Regd No.:
207/292
tw

E 2 9 5 2 2 1 4 E M o D 9 0 9 0 1 4 0 0 2 9

**** T

NAME
REF. DOCTOR PRASANNANAV AR
ACGE49YRS SEX

DATE I1/03/22
MALE

IMPRESSION

ALARGE
POSTERIOR
HETEROGENO.SOFT &LOW ATTENUATION
rTENUATION SOL INVOLVING
SOL INVOLVING
POSTERIOR WA & CECUM & ADJACENT
OF COLON

ASCE CENDING

RETROPERITONEUM&
POSTERIOR ABDo
RIGHT psOAS
MUSCLE & EXTENDING

CAUSING
TOo

POSTERIOR
ABDOMINAL WALL
COLONIC LUMINAL
L WALL, INVOLVING
SHOWING
MUSCLE

WELL
PLANE &

HOMOGENEOUS
NARROWING
ENHANCING SMALL SOFT TISSUE DENSITY COMPONENT
LOBULATED COMPONENT
ANTERIORLY WITHIN C AND LARGE POSTERIOR
WALL SHOWING
INVOLVING PSOAS MUSCL. DOSTERIOR ABDOMINAL
NON-ENHANCING LOW
THICK WALL ENHANCEMENT WITH CENTRAL
STRANDING IN ADJACENT
ATTENUATION AND MILD SOFT TISSUE DENSITY
SUBCUTANEOUS FAT (POSSIBLY CA
PERICOLONIC, RETROPERITONEUM &
ADJACENT RETROPERITONELM
COLON WITH LARGE ABSCESs INVOLVING
POSTERIOR ABDOMINAL WALL
&RIGHT PSOAS MUSCLE & EXTENDING TO
INVOLVING MUSCLE PLANE)
UB WALL.
MILDLY DIFFUSELY THICKENED

SMALL CALCIFIC FOCI IN PROSTATTE.

IN VISUALIZED D-L SPINE.
MILD DEGENERATTVE
CHANGES

DR RAM GOENKA (MD)

(MD)
DR SANTOSH KU. PANDA Consultant Radiologist
Should Be Correlated
Consultant Radiologis ans InTher Treatnient And Not For Medico Lecgal Purposes
And
ehese Reports Are For Assisting Doctors/Pnysi
Clinically

oGRAPHY, 4D COLC CARDIOGRAPHY,

DIC ALX-RAY,ESCAN, ULTRASPFT, BERA, E.E.G., OUR
DOPPLER, ECHO
ENDOSCOPY, COLONOS
oscOPY, PATHOLOGY
E.M.G,/ N.C.V
 ESTIC WER RING
OAD.
PATH
(Unit of PATHOLAB
LAB
H e a l t h c a r e
Pvt. Ltd.)

MANGALABAG, CULOGY
keiiueissvsae
HISTOO-PATH 16001, Regd. No-78/2000, (0671 2301510
UTTACK 75

REPORT
Name
Prasanna Kumar Navak
Age: 49/M
No. Bx-38/SB-38
Ref. pr SK Jena,
Gastro and
tiver CinC
Ci. Diagnosis
Carcinonma Colon
Natire o sample
olonosCopic Biopsy.

Microscopic

TUMOURTYPE ADENOCARCINOMA OF COLON.

HISTOLOGIC GRADE G-1(WELLDIFFERENTIATED).

ASSOCATED CHANGE VILLOUS ADENOMA WITH

HIGH GRADE DYSPLASIA.

Mallik, M.D.
Reported on:5.3.2022 Dr. Rabi Narayan
Consultant Histopathologist

(HP Slide Appended)

Received on 3.3.2022
ONE YEAR ONLY)
NALOCK WILL BE RETAINED FOR
(PARAFFINBLOCK WILL