Git Radiology 160216093600 1
Git Radiology 160216093600 1
Git Radiology 160216093600 1
• Ultrasound Abdomen
• CT Scan/MRI Abdomen
• ERCP, Cholangiography.
• Angiography and Nuclear Medicine
Plain Abdominal X-rays
• Erect Chest
• Supine Abdomen
• Erect / Decubitus Abdomen ( 10
min )
• Radiation Dose ( 1 Abd = 75 CXR)
• Contraindicated – pregnancy
Indications.
• “Acute
• Abdomen”
Abdominal Pain.
• ?Obstruction.
• Air Black
• Fat
• Water/soft tissue
• Calcium
• Bone
• Metal White
Approach to a AXR
• Technical Assessment.
• Projection.
• Bowel/Gas Shadows.
• Normal/Abnormal Calcifications.
• Solid Organs.
• Look at lung bases and at the
skeleton.
Normal Vs Abnormal Gas shadows
• Stomach. • Within the Lumen:
• Colon. – Dilated bowel ?
Obstruction
• Small Bowel.
• Outside the
Lumen:
– Free ?perforation
– In a cavity ?abscess
Small bowel obstruction: Supine and upright abdominal radiographs
show disproportionate dilatation of small bowel (SB) with a relatively small
amount of colonic gas (C). There are air-fluid levels (arrows) with different
height in the same small bowel loops. Small bowel obstruction due to
adhesion
Contrast Medium for GI
Water Soluble Non-water soluble
• Ionic (gastrografin) Can •
Barium
lead to pulmonary edema if Can cause sever peritonitis and
aspirated. fibrosis in perforation or
• Non- Ionic ( Low leakage.
• Indications:
Acute Abdomen, Obstructive jaundice,
abdominal masses, collections, Free fluid,
follow up- tumors.
4
1 2
hydroureter
THANK YOU