Section 1

Submit Findings

Case174

Findings

Technique

​The exam is over or under penetrated.

​The entire abdomen/pelvis is not covered on the exam.

​The region of interest is not covered on the exam.

​The exam is limited by overlying structures or soft tissues, body habitus, patient positioning, artifact, or motion.

Lines, Tubes, Drains, and Foreign Bodies

​There is an NG/OG tube in place. 

​The tip or side port of the NG/OG tube is above the GE junction, or beyond the pyloris, or is otherwise malpositioned.

​There is a FT in place. 

​The tip of the FT is not at the expected location of the ligament of Trietz or is otherwise malpositioned

​There is a gastrostomy, GJ, or J tube in place. 

​The G tube, GJ tube, or J tube is in an abnormal position.

​There is/are nephrostomy tubes, ureteral catheters, or a Foley catheter in place. 

​The nephrostomy, ureteral tubes, or Foley catheter is/are in an abnormal location

​There are surgical drains or other post-surgical changes. 

​There is an unexpected radiopaque foreign body or incidental non-surgical foreign body in the abdomen or pelvis.

​There are additional lines, tubes, catheters, stents, or drains in place. (Ex. Chest tubes, mediastinal drains, internal or external biliary drains or stents, femoral lines, suprapubic tube, peritoneal dialysis catheter, epicardial pacer wires, neurostimulator, Baclofen pump, other stents including vascular, rectal tube, etc)

​Additional lines, tubes, catheters, stents, or drains may be abnormally positioned. 

Stomach and Bowel Gas

​The stomach is distended with gas or fluid. 

​A segment of colon is distended or dilated with decompression of the more distal colon. 

​The cecum is dilated measuring over 9-10 cm. 

​There is displacement of loops of small or large bowel. 

​There is a paucity of gas in the abdomen. 

​There are centralized loops of small bowel with distention of the abdomen and pelvis.

​There is thickening of the wall of the stomach.

​There is thickening or thumbprinting of the wall of the colon. 

​The colon is filled with feces. 

​There is narrowing or stricture involving the stomach or bowel. 

Solid Organs and Intra-Abdominal Soft Tissues

​There are abnormal gas patterns or calcifications associated with the liver. 

​There is splenomegaly.

​There are splenic associated calcifications

​There is an abnormality of the size or contour of the right and/or left kidney. 

​There is a right or left ureteral calcification/stone anywhere from the renal pelvis to the UVJ. 

​There is renal or ureteral associated air

​The urinary bladder is distended. 

There is air in the urinary bladder wall or in the lumen. 

​There are calcifications associated with the bladder. 

​There is a soft tissue mass in the abdomen or pelvis. 

​The right or left psoas muscle is obscured.

​The right or left properitoneal stripe is obscured

​The paracolic gutters are abnormal.

Extraluminal Air

​There is free air beneath the diaphragm. 

​There is air on both sides of the bowel wall (Rigler's sign)

​There is scattered extraluminal air or an abnormal focal collection of air in the abdomen or pelvis. 

​There is air in the wall of the stomach. 

​There is portal venous or other intravascular gas. 

​There is pneumobilia

Additional Abdominal and Pelvic Calcifications

​There are calcified phleboliths in the pelvis. 

​There is calcification of the prostate gland, vas deferens, or seminal vesicles

​The abdominal aorta, iliac arteries, or pelvic branches are calcified. 

​The abdominal aorta diameter exceeds 3 cm or cannot be measured. 

Bones and Extra-Abdominal Soft Tissues

​There is a lytic, blastic, or destructive lesion of the spine, pelvis, femurs, or ribs. 

​There is an acute or chronic fracture of the spine, pelvis, femurs, or ribs. 

​There is abnormality of the discs, SI or hip joints, or pubic symphysis or other incidental abnormality of the pelvis. 

​There is air or a foreign body in the extra- abdominal soft tissues of the abdomen, pelvis, or perineum. 

​There is abnormality of the lung bases and/or diaphragm.

Upright Abdomen or Left Lateral Decubitus

​There is an upright abdomen or left lateral decubitus included.

​The upright abdomen does not include the diaphragm and lung bases.

​There are abnormalities in the lung bases that may require further investigation (describe).