Back to the Beginning

My CT scan with no contrast. 

Yesterday morning I had the long-awaited CT scan to locate and identify the kind of kidney stone I have. The kidney stone was suspected because of flank pain and was confirmed via ultrasound.

To my surprise, the radiology report from the CT scan gave me a clean bill of health. Nothing was found. Excerpts from the CT report show a very normal kidney and bladder.

‘CT abdomen: The kidneys demonstrate normal symmetric enhancement and excretion. There are no enhancing renal masses, renal calculi, or hydronephrosis. The ureters are of normal course and caliber with no ureteral calculi or filling defects.

The lung bases are clear. The liver, gallbladder, pancreas, spleen, and adrenal glands are normal. The stomach, small bowel, and colon are unremarkable. There is no abdominal fluid or lymphadenopathy. The aorta is minimally atherosclerotic.

CT pelvis: The urinary bladder is unremarkable with no evidence of bladder wall thickening, mass, or calculi. Clips are seen within the prostate. There is no pelvic free fluid or lymphadenopathy.

IMPRESSION: Unremarkable CT of the kidneys, ureters, and bladder.

I spent a lot of time yesterday looking at my CT scan and watching YouTube videos to help me understand how the read the CT. A CT scan is a series of photographs taken in ‘slices’ to create the ability to move through the images, slice by slice, to see what is going on inside the body. I learned from the technician that the CT scanner used on me was 64 slice machine, creating 64 pictures of my abdomen as I was electronically moved through the machine.

The CT looked to be normal until you get to an area right above the bladder, which has a few white areas. Not trusting the radiology report, I called the radiology center and asked them to have the CT scan read again by a different doctor. Are these white areas nothing or signs of kidney stones moving down from my kidney through my ureter to my bladder?

If not a kidney stone, then what? It’s back to the beginning of my search for all the symptoms I have been experiencing.


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