<p>The scanogram showed normal bowel distribution and caliber. No abnormal opacity of calcific density is seen in the region of the kidneys, ureters and urinary bladder. The outlined bones and joint spaces appeared normal.</p><p>The serial pre and post contrast slices were obtained at 2-5 mm thickness from the lower chest to the pubic symphysis.</p><p>The liver is normal in size, normal in shape, density and outline. No focal or diffuse parenchymal lesion is seen. Intra and extra hepatic biliary radicles are normal.</p><p>The gall bladder showed normal wall thickness with clear contents. The biliary system is noted dilated. The spleen is normal in size, shape and attenuation value. Pancreas is normal in size, shape and attenuation value. Pancreatic duct is not dilated.</p><p>The kidneys are normal in their positions, sizes, outlines and parenchymal density. They measured 104 mm and 101 mm in their respective bipolar lengths on the right and left sides. They showed satisfactory excretion and enhancement of contrast medium. The right kidney bears three hyperdense particles within the central sinus with a density of about 734 HU. Their sizes ranged from 4 mm to 6 mm in diameter. Nevertheless, the right renal calyces and ureter are not dilated; while the left showed moderate dilatation. A solitary particle of similar density is also noted in the central sinus of the left kidney, measuring 10 mm in diameter. In addition, the upper pole of the right kidney bears an oval thick-walled non-enhancing hypodense lesion with a density of 3 HU. It measured 19 mm in diameter.</p><p>The urinary bladder showed normal wall thickness and a sedimented hyperdense particle that measured 11 mm inn diameter. The prostate gland is mildly enlarged, measuring 40 mls in volume. It showed intact capsule with homogeneous texture.</p><p>There is no ascites.</p><p>The visualized portion of contrast filled bowel loops appears normal. Major abdominal vessels including IVC and aorta appear normal; except for the dots of aortic wall calcifications due to age-related atherosclerotic changes.</p><p>CONCLUSION: Findings suggest the following:</p><ol><li>Bilaterally functioning kidneys</li><li>Right non-obstructing renal calculi.</li><li>Obstructing left renal calculus</li><li>Solitary left renal cyst (Bosniak-2)</li><li>Enlarged prostate, likely benign with vasical calculus</li></ol>