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Abdel Maksoud MD, MS, PhD, MRCS Slide 2: A 44-year-old woman presents with right upper quadrant pain Slide 3: What is the most likely diagnosis: A. drenal calcification B. Calcified gallstones C. Kidney stone D. Milk-of-calcium bile in the gallbladder Slide 4: multiple faceted calcifications in the right upper quadrant, which are characteristic for gallstone. Slide 5: A 36-year-old woman presents with flank pain Slide 6: What is the most likely diagnosis in Case: A. Adrenal calcification B. Calcified gallstones C. Kidney stones D. Medullary nephrocalcinosis Slide 7: Three separate deposits of calcified density confined to the right renal shadow. The largest one measures 2 cm in greatest diameter Slide 8: A 48-year-old man who is an alcoholic presents with epigastric pain Slide 9: What is the most likely diagnosis A. Adrenal calcification B. Calcified hepatic metastases C. Pancreatic calcification D. Primary calcified mucoproducing adenocarcinoma in the colon Slide 10: shows multiple stippled calcifications in the upper abdomen adjacent to the lumbar spine. In a patient with a history of alcoholism, pancreatic calcification from chronic pancreatitis would be the most likely diagnosis. Slide 11: A 59-year-old woman is seen who underwent colectomy surgery for colon cancer 10 years ago Slide 12: What is the most likely diagnosis A. Adrenal calcification B. Calcified hepatic metastases C. Pancreatic calcification D. Primary calcified mucoproducing adenocarcinoma in the colon Slide 13: stippled and discrete calcifications overlying the right 12th rib, just above the renal outline. When calcification in the lung base, skin, retroperitoneum, pancreas, kidney, and adrenal glands is excluded, hepatic calcification should be considered in a patient with a history of colon cancer Slide 14: A 15-year-old boy presents with right lower quadrant pain and fever Slide 15: What is the most likely diagnosis A. Appendicolith B. Ectopic gallstone C. Pelvic phlebolith D. Right ureteral calculus Slide 16: a boy with acute appendicitis. An oval calcification measuring 0.8 cm in diameter projects over the iliac bone and laterally to the right sacroiliac joint with a distended appendiceal lumen filled with gas. At surgery, gangrenous appendicitis with perforation and an obstructing appendicolith were found. Slide 17: A 15-year-old boy presents with right lower quadrant pain and fever Slide 18: A. Appendicolith B. Multiple phleboliths C. Multiple ureteral calculi D. Prostatic calculi Slide 19: demonstrates a 5- x 5-m and a 4- x 4-mm calcified density (arrows) along the expected course of the right distal ureter. These densities were formerly identified in the right kidney and have migrated inferiorly to their current positions, indicating right ureteral calculi. With the history of hematuria, the most likely choice would be right ureteral calculi. Slide 20: A 48-year-old woman presents with lower abdominal fullness Slide 21: A. Bladder calculus B. Chondrosarcoma of the sacrum C. Cystadenoma of the ovary D. Uterine fibroid calcifications Slide 22: 2-cm-diameter mottled calcification and curvilinear calcifications in the midpelvis. These calcifications overlie the sacrum and are consistent with calcification in uterine fibroids Slide 23: A 57-year-old man presents with history of hepatitis Slide 24: A. Ascites B. Cirrhosis C. Hepatomegaly D. Nephromegaly Slide 25: the right side of the abdomen shows increased density and is relatively free of gas. Displacement of the gas pattern in the duodenum and jejunum to the left side is indicative of hepatomegaly. Slide 26: A 40-year-old man presents with back pain Slide 27: A. A pseudotumor sign of small bowel obstruction B. Gastric outlet obstruction C. Hepatomegaly D. Horseshoe kidney Slide 28: a mass in the midabdomen delineates the lower poles of both kidneys, which are fused at the midline, consistent with horseshoe kidney. Slide 29: A 65-year-old woman presents with abdominal distention and a history of abdominal surgery Slide 30: A. Functional ileus of the bowel B. Gastric outlet obstruction C. Mechanical obstruction of the small intestine D. Pneumoperitoneum Slide 31: gaseous distention of the stomach, duodenum, and jejunum on the supine film, but no gas is seen in the colon, suggesting mechanical small bowel obstruction. Gastric outlet or duodenal obstruction is unlikely because many jejunal loops are dilated. At surgery, an obstructing jejunal adhesion was found. Slide 32: A 70-year-old man presents with abdominal distention Slide 33: A. Cecal volvulus B. Functional ileus of the bowel C. Pneumoperitoneum D. Sigmoid volv Slide 34: a huge distended and folded colonic loop in the midabdomen and pelvis (the "coffee bean" sign). The most likely consideration is a sigmoid volvulus. Slide 35: A 66-year-old woman presents with abdominal distention and constipation for 3 days Slide 36: A. Ascites B. Functional ileus of the bowel C. Mechanical obstruction at the colon D. Mechanical obstruction at the small bowel Slide 37: a distended transverse colon and descending colon and no gas in the sigmoid colon and rectum. The small bowel is not distended. Mechanical obstruction of the colon distal to the level of descending colon is likely. Slide 38: A 35-year-old man is seen who underwent laparotomy 2 days earlier Slide 39: A. Bullous emphysema B. Colon interposition C. Pneumoperitoneum D. Tension pneumothorax Slide 40: crescent-shaped lucencies beneath both hemidiaphragms outlining the liver on the right and the spleen on the left in the PA chest film, suggesting pneumoperitoneum. You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.