Reason: 83M with soft mass on LLQ area, ? Spigelian hernia History: soft LLQ abdominal mass In the left inguinal region, there is an apparent defect in the abdominal wall which appears to contain peristaltic bowel compatible with an inguinal hernia.
Findings compatible with left inguinal hernia. CT abdomen/pelvis with intravenous and enteric contrast may be considered for additional evaluation as clinically warranted.Findings discussed with patient and daughter. Patient not currently experiencing acute obstructive symptoms and was counseled to seek care at the emergency department if symptoms worsen.