Presentation Transcript
Saeed Tavana , MD :RADIOLOGY OF THE ABDOMEN Saeed Tavana , MD Radiology resident of shiraz medical school 1387
Slide 2:GASTROINTESTINAL TRACT
HEPATO-BILIARY TREE
VASCULAR TREE
GENITO-URINARY TRACT. *See speaker notes for more discussion
BASIC DENSITIES VISUALIZED :BASIC DENSITIES VISUALIZED BONE
SOFT TISSUE
FAT
AIR
Slide 4:4 bone
soft
tissue
fat
air X- RAY
Slide 6:bone
soft
tissue
fat
air
Slide 8:stomach colon
Slide 9:NASO-GASTRIC
(NG TUBE) INFERIOR VENA CAVA FILTER IODINATED CONTRAST IN LEFT KIDNEY AP ABDOMEN
Slide 10:RADIOLOGY
OF THE
ABDOMEN GASTROINTESTINAL TRACT
Slide 11:11 UPPER GI – ORAL BARIUM CONTRAST BARIUM ENEMA - RECTAL BARIUM CONTRAST STOMACH COLON WITHOUT CONTRAST
Slide 12:SPOT FILM TAKEN WITH PATIENT IN THE UPRIGHT POSTION
SHOWS AIR / BARIUM LEVEL IN GASTRIC FUNDUS
Slide 13:UGI
STUDY DUODENAL “C” LOOP DUODENAL BULB ANTRUM GASTRIC
BODY JEJUNUM RUGAE FUNDUS
Slide 14:SMALL BOWEL FILM TAKEN IMMEDIATELY AFTER
INGESTION OF BARIUM. DUODENAL “C” LOOP LIGAMENT OF TREITZ BARIUM IN STOMACH JEJUNUM
Slide 15:ILEUM SMALL BOWEL FOLLOW THROUGH
(1 HOUR LATER) JEJUNUM
Slide 16:Ileocecal valve Terminal ileum Appendix CECUM
Slide 17:Terminal
ileum AIR CONTRAST
BARIUM ENEMA
Slide 18:RADIOLOGY
OF THE
ABDOMEN HEPATO-BILIARY TREE
Slide 20:5 1 NUCLEAR MEDICINE
Hepato-biliary scan Gallbladder ultrasound
Slide 21:MR CHOLANGIOGRAM OPERATIVE CHOLANGIOGRAM
Slide 22:CT US Pancreas
Slide 23:RADIOLOGY
OF THE
ABDOMEN VASCULAR TREE
Slide 24:24 ARTERIOGRAM
INTRAARTERIAL IODINE CONTRAST WITHOUT CONTRAST
Slide 25:SPLENIC ARTERY HEPATIC ARTERY RIGHT RENAL ARTERY LEFT RENAL ARTERY AORTOGRAM CELIAC ARTERY
Slide 26:1 INTERCOSTAL ARTERY 2 SUPERIOR MESENTERIC
ARTERY AORTOGRAM SPLENIC ARTERY 3 RENAL ARTERY 4 RENAL ARTERY 3
Slide 27:2 MAGNETIC RESONANCE ANGIOGRAM AORTOGRAM
Slide 28:ULTRASOUND AORTA
Proximal and mid-sagittal
Slide 29:CT US PORTAL CONFLUENCE
OF
SPLENIC VEIN
AND
SUPERIOR MESENTERIC VEIN
Slide 30:PORTAL VEIN
Slide 31:HEPATIC VEINS ENTERING IVC
Slide 32:PELVIC VASCULAR TREE 4 5 6 ABDOMINAL AORTA
INTERNAL ILLIAC ARTERY
EXTERNAL ILLIAC ARTERY
LUMBAR ARTERY
COMMON FEMORAL ARTERY
COMMON ILLIAC
Slide 33:MR ARTERIOGRAM CONVENTIONAL CATHETER
ARTERIOGRAM
Slide 34:CONVENTIONAL ANGIOGRAM
1= Common femoral artery
2= Superficial femoral artery
3= Profunda femoris artery 1 2 3
Slide 35:RIGHT COMMON FEMORAL VEIN RIGHT EXTERNAL ILIAC VEIN INFERIOR VENA CAVA INFERIOR
VENA CAVAGRAM
Slide 36:LEFT FEMORAL VEIN CATHETER ENTERS SKIN HERE ASCENDING INTRO- ILLIAC VEINS X x INFERIOR VENA CAVA FEMORAL VEIN CATHETER LEFT
Slide 37:RADIOLOGY
OF THE
ABDOMEN GENITO-URINARY TRACT
Slide 39:39 INTRAVENOUS PYELOGRAM – IVP
INTRAVENOUS IODINE CONTRAST WITHOUT CONTRAST
Slide 40:CALYX
PELVIS
URETER
BLADDER
Slide 41:NUCLEAR MEDICINE RENOGRAM
Slide 42:ULTRASOUND
RT. KIDNEY LIVER KIDNEY
Slide 43:Sacrum Sacro-illiac
joint Sacro- illiac
joint Femoral head Greater
trochanter Lesser
trochanter Superior
pubic
ramus Symphysis pubis Inferior pubic ramus Acetabulum AP PELVIS
Slide 44:IVP
(MALE) BLADDER PROSTATE CONTRAST IN DISTAL URETER RENAL PELVIS
Slide 45:IVP
FEMALE BODY OF UTERUS BLADDER SI JOINT SI JOINT
Slide 46:HYSTEROSALPINGOGRAM UTERINE CAVITY FALLOPIAN TUBE CANULA FIMBRIAE FREE CONTRAST IN PERITONEAL CAVITY
PELVIS – sagittalTrans abdominal scanning :PELVIS – sagittalTrans abdominal scanning 47 BLADDER UTERUS
Slide 48:ULTRASOUND- SAGITTAL
Trans vaginal scanning
COMPUTED TOMOGRAPHY :COMPUTED TOMOGRAPHY 49
Slide 50:50 CT
ABDOMINAL & PELVIC ANATOMY
Slide 51:LIVER ESOPHAGUS SPLEEN DIAPHRAGMS SCAN LEVEL HEPATIC VEINS CT ABDOMEN 15 15A SCAN LEVEL
Slide 52:SCAN LEVEL PORTAL VEIN RT. KIDNEY STOMACH FOOD ADRENAL GLANDS CT
ABDOMEN 20
Slide 53:SCAN LEVEL RT. KIDNEY LT. KIDNEY 1 2 3 4 1-AORTA
2-CELIAC ARTERY
3-IVC
4-PORTAL VEIN 23 CT
ABDOMEN
Slide 54:SCAN LEVEL CT
ABDOMEN PANCREAS BENIGN GRANULOMA IN SPLEEN 2 2 1 1-SMA
2-SPLENIC VEIN 25
Slide 55:SCAN LEVEL LIGAMENT OF TERES PANCREAS GASTRIC ANTRUM
AND DUODENUM SMA SMV GALLBLADDER CT
ABDOMEN 27
Slide 56:AORTA RT. RENAL VEIN LT. RENAL VEIN LT. RENAL ARTERY IVC 30 SCAN LEVEL CT
ABDOMEN
Slide 57:SCAN LEVEL CT
ABDOMEN STOMACH RT. COLON RT. & LT.
RENAL PELVIS LT. COLON SMALL BOWEL 33
Slide 58:SCAN LEVEL SUBCUTANEOUS FAT TRANSVERSE COLON SMALL BOWEL AORTA IVC CT
ABDOMEN 47
Slide 59:UMBILICUS PSOAS MUSCLES ILLIAC BONE IVC LT. COMMON ILLIAC ARTERY RT. COMMON
ILLIAC ARTERY SCAN LEVEL 1 2 3 1.- EXTERNAL ABDOMINAL OBLIQUE MUSCLE
2.- INTERNAL ABDOMINAL OBLIQUE MUSCLE
3.- TRANSVERSE ABDOMINUS 52
Slide 60:RECTUS ABDOMINUS LT. ILLIACUS MUSCLE LT. PSOAS MUSCLE SCAN LEVEL CT
ABDOMEN
Slide 61:BLADDER ILLIOPSOAS MUSCLES RECTOSIGMOID LT. PIRIFORMIS MUSCLE RT. PIRIFORMIS MUSCLE EXTERNAL ILLIAC CT
ABDOMEN EXTERNAL ILLIAC ARTERIES SCAN LEVEL
Slide 62:BLADDER PROSTATE RECTUM SACRUM RT. FEMORAL HEAD ACETABULUM SCAN LEVEL CT
ABDOMEN COMMON FEMORAL VEINS COMMON FEMORAL ART LT. OBTURATOR INTERNUS MUSCLE RT. OBTURATOR INTERNUS MUSCLE HIP JOINT
Slide 63:INTERESTING
CASES
Slide 64:UPRIGHT ABDOMEN FILMS
Slide 65:NORMAL UPRIGHT ABDOMEN FILMS PNEUMOPERITONEUM
Slide 67:Distended small bowel Distended large bowel
Slide 69:Insert ct hernia
Slide 70:Large bowel obstruction
Slide 73:Mag view of gallstones
Slide 76:AORTIC ULTRASOUND NORMAL ANEURYSM
Slide 77:ANEURYSMS
Slide 78:VASCULAR STENTS
Slide 79:RENAL
COLLECTING SYSTEM
Slide 80:NORMAL DILATED
Slide 83:PELVIC
ULTRASOUND
Slide 84:OBSTETRICAL SCAN 84
Slide 85:NORMAL ECTOPIC
Slide 86:NORMAL DILATED
Slide 87:RETAINED COMMON BILE DUCT STONE WITH OBSTRUCTION
Slide 88:ENLARGED
SPLEEN
Slide 89:SPLEEN