Diagnostic imaging Lecture 2

Normal stomach

Valvae connivents - bowel gas patterns

Normal large bowel

Pt recovering from appendectomy

Calcification

Free air due to duodenal ulcer

Free air due to perforated bowel

Football sign

Bubble shape

Thick upper wall

Normal stomach bubble

Small bowel obstruction/illeus

Large bowel obstruction

Sigmoid volvulus (coffee bean or bird beak sign)

Pt has acute abd pain, sepsis, and hx of ulcerative colitis

evidence of: thumb printing and mucosal islands

Bowel wall inflammation - toxic mega colon

Chronic constipation

Abdominal aortic aneurysm

Diffuse soft tissue density shadowing in RUQ

Hepatomegaly

Patient has myeloproliferation disorder

Increase in soft tissue density but bowel appears pushed away by thr edge of the spleen

Splenomegaly

Hazy density of entire abdomen

A loop of gas filled bowel lies centrally in the abdomen

Ascites

Small pelvic mass

Elderly pt presents with abd pain and no clear history of trauma

Tenderness I’m the suprapubic region due to intraabdominal pathology

Fracture and osteoarthritis

Hx of breast cancer

Abd pain

Bone Mets

Pt experiences dysphagia

Zenkers diverticulum

Pt has heartburn, dysphagia, regurgitation

Hiatal hernia

Pt has heartburn

GERD - hx and PE sufficient to diagnose

Pt has dysphagia

Esophageal cancer

asx

Pt has Plummer Vinson syndrome

Esophageal web

Dysphagia

Schatzki’s ring

Pt has portal HTN and is an alcoholic

Varices

Peptic ulcer disease

Pancreatic cancer

Duodenal cancer

Gastric polyps

Small bowel obstruction

Crohn’s disease

Ulcerative colitis

Colon polyps

Diverticulosis

Perforation

Appendicitis

Cholysistitis

Cholelithiasis

Cirrotic liver

Kidney stone

Renal calculi

Polycystic kidney disease

Bladder cancer

Ovarian cancer

Polycystic ovary

Ovarian cyst

Fibroid - vaginal