JK Amorosa. Abd-pelvis Solid organs: liver, spleen, k-s, pancreas, adrenals Bowel, mesentery ...

of 36 /36
JK Amorosa

Transcript of JK Amorosa. Abd-pelvis Solid organs: liver, spleen, k-s, pancreas, adrenals Bowel, mesentery ...

Page 1: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

JK Amorosa

Page 2: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Abd-pelvis

Solid organs: liver, spleen, k-s, pancreas, adrenals

Bowel, mesentery Retroperitoneum Bladder Free air, fluid

..itis:

Page 3: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Supine abdominal image

Signs of perforation

1.Air on either side of bowel

2.Air pockets

3. Hypogastric vessels

Page 4: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Are you thinking of FREE AIR?

Page 5: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

X table Left lateral decubitus image

Why not right lateral decubitus image?

Page 6: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

CT shows free air

Page 7: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

63 f SBO early

Page 8: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:
Page 9: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

SBO - Small Bowel Obstruction, moderately high grade

Page 10: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

SBO, high grade

Page 11: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

CT is best but occasionally….

amorosa

Page 12: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

amorosa

Page 13: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:
Page 14: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

SBO caused by Umbilical hernia

Page 15: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

High grade SBO

Page 16: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

SBO with perforation

Page 17: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Free air

Page 18: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Free air/pneumoperitoneum/perforation

Page 19: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Portal venous air from bowel necrosis

Page 20: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Pneumatosis- bowel necrosis

Page 21: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:
Page 22: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Pneumatosis

Page 23: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Rectus muscle hematoma

Page 24: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Fecal impaction

Judith K. Amorosa
paction
Page 25: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Free air in ICU

Page 26: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Bowel edema, localized

Page 27: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Pancolitis, severe edema:C Diff

Page 28: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Free air

Page 29: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Intestinal perforation

Page 30: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Provide a brief clinical history based on these coronal noncontrast enhanced CT images

Page 31: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

GIST

Page 32: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Problem

Page 33: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

85 m

Page 34: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

AAA

Page 35: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

cc.rsna.org

Page 36: JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

ACR Appropriateness Criteria