CT of the pelvis without contrast, done for left-sided testicular pain. It found a few small pouches (diverticula) in the sigmoid colon but no signs of infection or inflammation. The bladder, prostate, bones, and joints appeared normal with no hernia.
Severity reflects your radiologist's own wording — not an AI judgment.
New or worsening symptoms? Contact your doctor promptly, whatever this summary says.
Few diverticula involving the visualized portions of the sigmoid colon, with no inflammatory changes in the pericolonic fat (no evidence of diverticulitis)
In plain words: Diverticula are small pouches that bulge out from the wall of the colon, which are common. Here there was no sign of inflammation or infection of these pouches.
Urinary bladder appears normal with no bladder stones
In plain words: The bladder looked normal and no stones were seen inside it.
No pelvic adenopathy identified
In plain words: No enlarged lymph nodes were seen in the pelvis.
No inguinal hernia
In plain words: No hernia (a bulge of tissue through a weak spot) was seen in the groin area.
Sacroiliac joints and hip joints are normal in caliber
In plain words: The joints connecting the spine to the pelvis and the hip joints appeared normal.
No significant bone spurring or bone erosions; no osteoblastic or osteolytic lesion; no fracture identified
In plain words: The bones showed no abnormal growths, areas of bone loss, tumors, or breaks.
Prostate measures approximately 5 x 3.7 cm
In plain words: This is simply the measured size of the prostate gland.
Severity reflects the AI reading's own wording — it is not a diagnosis, and not your radiologist's opinion.
New or worsening symptoms? Contact your doctor promptly, whatever this summary says.
A small, well-defined, rounded high-density focus lies within the soft tissues, markedly brighter than surrounding muscle and fat, with a faint linear density extending from it. It sits away from any bone and does not contact the femur or pelvis. This is the most significant finding of this series because it is the only deviation from expected appearance; it outranks the bony structures, which show continuous cortices and congruent joints.
Two to three small rounded calcific densities with lucent centres sit in the mid-pelvic soft tissue below the sacral promontory. They are smoothly marginated and ring-shaped, distinct from the adjacent uniform grey soft tissue. This is the most conspicuous finding but is of low consequence because it does not interrupt any cortical surface or displace a named structure.
Multiple gas- and fluid-containing bowel loops fill the mid pelvis with scattered small outpouchings along their margins; the loops are not dilated and the surrounding fat is clean.
A grouping of rounded and serpiginous tubular soft-tissue-density structures lies along the left spermatic cord as it approaches the scrotum, appearing somewhat more clustered and prominent than the corresponding structures on the right. They sit anterolateral to the midline, lateral to the base of the penis. This is the most clinically relevant soft-tissue asymmetry on these slices; it outranks the symmetric bony structures because it represents a focal left-right difference in the spermatic cord contents rather than a uniformly corticated bone.
A small, very dense (bright on soft-tissue window) focus sits in the midline at the junction of the penile root and upper scrotum, standing out sharply against the uniformly lower-density surrounding fat and muscle. This is the most significant finding of this series because it is a discrete high-attenuation focus that differs from all surrounding soft tissue, which is otherwise homogeneous; it outranks the symmetric bony structures below, which show no interruption.
The anterior margins of the lower lumbar vertebral bodies carry bony spur-like projections, and the intervening disc spaces appear reduced in height compared with the more cranial levels, with endplate irregularity.
A small well-defined rounded high-density focus lies in the soft tissue below and medial to the hip joint, separate from the bony cortex, with smooth margins and uniform brightness.
On the more posterior slices a bright elongated bony density projects laterally on the patient's left; it follows the expected outline of the greater trochanter and proximal femoral shaft as it enters the coronal plane and its cortex is continuous.
On the soft-tissue window slices there are thin linear/branching higher-density structures coursing through the muscle planes medial to the femur, consistent in appearance with contrast-filled vessels; no focal rounded collection or mass displaces the surrounding muscle.
On these slices, no abnormality was seen in: the paired iliac wings and their cortical outlines, the sacrum and visualized sacroiliac joints, the pubic and ischial bones, the lowest lumbar vertebral body and posterior elements shown at the top of the stack, the midline bladder, the pelvic and lower abdominal bowel loops, and the subcutaneous and gluteal soft tissues. The scrotum and testes are not included in this field of view.
On these slices, no cortical interruption, displaced fragment or loss of joint congruity was seen in the lumbar vertebral bodies, the sacrum and its foramina, the iliac wing, the pubis or the ischium that were traced across the sagittal series.
On the most posterior slice two rounded soft-tissue masses sit symmetrically to either side of the midline penile column, one on the patient's right (image left) and one on the patient's left (image right); they are similar in size and uniform in density, with no asymmetric enlargement or focal density difference between the two sides visible here.
A rounded soft-tissue structure sits in the anterior midline between the thighs on the upper slices (the root of the penis), continuous inferiorly with the scrotal soft tissue which contains paired rounded soft-tissue densities of similar size on each side. The two sides are symmetric in size and attenuation, with no focal mass, fluid collection or abnormal dilated tubular channel distinguishable on these slices.
A vertically oriented, bulbous midline soft-tissue column hangs from the pubic region into the perineum, flanked superiorly by a symmetric V-shaped pair of denser bands (the paired crural/corporal roots). The column is uniform in density with no focal high-density focus along its length.
On these slices, no abnormality was seen in: the cortical outlines of both femoral diaphyses and visible proximal femora, the symmetric musculature of both thighs (quadriceps, adductor and hamstring groups), the subcutaneous fat planes, the midline penile shaft, and both testes within the scrotum, which are symmetric in size and attenuation. This entry is the record of structures examined without a definite focal lesion; the mild left cord prominence above is the most notable observation of the series only because nothing else deviates.
The femoral head appears as a smooth rounded dense sphere seated within the concave acetabular socket, with the joint surfaces remaining parallel and congruent across the slices that cross the joint; cortical margins of both the acetabular roof and the femoral head are continuous.
The upper portion of each slice is occupied by a smoothly marginated, rounded block of homogeneous soft tissue (anterior lower abdominal/pelvic wall and fat), its lower contour convex and regular across the series, with faint linear structures within consistent with vessels and fascial planes.
The midline rounded structure anterior to the rectum is uniformly low in density with a thin smooth wall, distended, and occupies the central pelvis; it displaces bowel loops superiorly and laterally without a focal wall thickening visible on these slices.
On the axial slice the two pubic bones meet in the midline with the symphyseal cleft between them, and the paired curved cortical structures (pubic/ischial rami) lie symmetrically on either side. The cortical outlines are continuous and the two sides are mirror-image in position and density.
Tubular soft-tissue cord structures are seen in both inguinal regions anteriorly; they appear broadly symmetric between the two sides on these slices with no discrete rounded fluid collection or dominant dilated serpiginous structure clearly distinguishable from adjacent fat.
A discrete dense (calcific) focus lies within the marrow of the rounded corticated bony segment, brighter than the surrounding trabecular bone and standing out against the lower-density marrow around it. This is the most conspicuous focal finding of the series; it outranks the other entries because it is a discrete high-density focus rather than a normal structural variation.
A similar but smaller, less clustered group of tubular soft-tissue densities lies just lateral to the penile root on the right; it is the structure compared against the more prominent left-sided cluster described above.
A rounded soft-tissue structure of mixed internal density lies among the bowel loops in the left mid-abdomen, distinct from adjacent gas-filled loops; it does not displace or compress the neighbouring vessels or bowel. Its nature is not resolved on these slices.
All three frames display an identical tabular 'Dose Report' text page (series, scan type, scan range, CTDIvol, DLP, phantom values) rather than any cross-sectional image of the body. The three frames differ only in background brightness, not in anatomical content. No pelvic, scrotal, vascular, osseous or soft-tissue structures are depicted, so none can be assessed.
AI-assisted scan reading — not a clinical report
Issued: 2026-10-08
This document was generated by artificial intelligence from the scan images. It is an explanatory aid, NOT a diagnosis and NOT a substitute for a radiologist report. Always discuss it with your doctor.
Whole-exam read: 7 of 9 series, 183 representative slices in total.
This was a CT scan of your pelvis, which uses X-rays to make cross-section pictures of the bones, the bladder, the bowel, and the soft tissues of the groin and genital area. The reading noted several things: a few small bright (calcium-type) spots in the soft tissues and in bone, some tube-like structures along the cord that runs into the scrotum, wear-and-tear changes in the lower spine, and a number of areas where no abnormality was seen. Importantly, the readers did not all agree on several of these points, and some were raised by only one reading, so a human radiologist needs to review them. The two 'scout' set-up images were not part of this reading, and the scrotum and testicles were only partly inside the picture area, so these findings do not cover everything.
In general terms, small bright spots on a CT usually represent tiny deposits of calcium; these are common and are often harmless, though a radiologist decides whether any need follow-up. Tube-like, clustered or worm-shaped structures along the spermatic cord can represent blood vessels, and a side-to-side difference in how prominent they look is something a radiologist and your doctor would want to interpret together — especially because this sits in the area where you describe your pain and burning. The spur-like bony changes and narrowed spaces in the lower spine are the kind commonly described as wear-and-tear. It is important to understand that the readers did not agree on several of these points, and others were mentioned by only one reader, so none of these should be taken as settled on their own. This reading is incomplete: the two set-up 'scout' images were not reviewed, and the scrotum and testicles were only partly inside the picture area, so this scan does not rule out a problem there. Because you have testicle tenderness and pain, that is worth discussing with your doctor without delay, and sudden severe testicular pain, swelling, redness, fever, or difficulty urinating should be treated as reasons to seek urgent care.
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