Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 60 year old male with NG tube placement. Exam KUB/supine abdomen Prior Study Multiple prior exams Dicom View Reference Material
Section 1 Submit Findings Case179 Findings Technique The exam is technically correct (not over or under penetrated, the entire abdomen/pelvis is covered, the region of interest is covered, and the exam is not limited by overlying structures of soft tissues, body habitus, patient positioning, artifact, or motion). Yes No Lines, Tubes, Drains, and Foreign Bodies There is an NG/OG tube in place and properly positioned (the tip or sideport of the NG/OG tube is NOT above the GE junction and is NOT beyond the pyloris or otherwise malpositioned). Yes No There is a FT in place and the tip of the FT is properly located at the ligament of Trietz, and is NOT otherwise malpositioned. Yes No There is a gastrostomy, GJ, or J tube in place and in a normal position. Yes No There is/are nephrostomy tubes, ureteral catheters, or a Foley catheter in place, and properly positioned. Yes No There are surgical drains or other post-surgical changes. Yes No There is an unexpected radiopaque foreign body or incidental non-surgical foreign body in the abdomen or pelvis. Yes No 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) which are properly positioned. Yes No Stomach and Bowel Gas The stomach is distended with gas or fluid. Yes No There is dilatation with gas or fluid of multiple or diffuse loops of small bowel greater than 3 cm or dilatation with gas or fluid of a few focal loops of small bowel greater than 3 cm. Yes No A segment of colon is distended or dilated with decompression of the more distal colon. Yes No The cecum is dilated measuring over 9-10 cm. Yes No Cannot be measured There is dilatation of the ascending, transverse, descending, and/or sigmoid colon measuring over 6 cm. Yes No cannot be measured Both the small and large bowel are filled with air and/or fluid and may or may not be distended. Yes No There is displacement of loops of small or large bowel. Yes No There is a paucity of gas in the abdomen. Yes No There are centralized loops of small bowel with distention of the abdomen and pelvis. Yes No There is thickening of the wall of the stomach. Yes No There is thickening of the SB wall or valvulae conniventes 3 mm or greater. Yes No There is thickening or thumbprinting of the wall of the colon. Yes No The colon is filled with feces. Yes No There is narrowing or stricture involving the stomach or bowel. Yes No There is air, bowel, or abnormal soft tissue overlying the lower chest, abdominal wall, inguinal region, or pelvis (ex. hernia). Yes No Solid Organs and Intra-Abdominal Soft Tissues There is hepatomegaly or a prominent right lobe (Riedel's lobe) of the liver. Yes No There are abnormal gas patterns or calcifications associated with the liver. Yes No There is splenomegaly. Yes No There are splenic associated calcifications. Yes No There is an abnormality of the size or contour of the right and/or left kidney. Yes No There are renal associated calcifications. Yes No There is a right or left ureteral calcification/stone anywhere from the renal pelvis to the UVJ. Yes No There is renal or ureteral associated air. Yes No The urinary bladder is distended. Yes No There is air in the urinary bladder wall or in the lumen. Yes No There are calcifications associated with the bladder. Yes No There is a soft tissue mass in the abdomen or pelvis. Yes No The right or left psoas muscle is obscured. Yes No The right or left properitoneal stripe is obscured. Yes No The paracolic gutters are abnormal. Yes No Extraluminal Air There is free air beneath the diaphragm. Yes No There is air on both sides of the bowel wall (Rigler's sign). Yes No There is scattered extraluminal air or an abnormal focal collection of air in the abdomen or pelvis. Yes No There is air in the retroperitoneum. Yes No There is air in the wall of the stomach. Yes No There is air in the wall of the small or large bowel. Yes No There is portal venous or other intravascular gas. Yes No There is pneumobilia. Yes No There is air in the expected region of the gallbladder. Yes No Additional Abdominal and Pelvic Calcifications There is calcification in the expected region of the gallbladder. Yes No There are calcifications in the pancreas. Yes No There are calcified phleboliths in the pelvis. Yes No There are pelvic calcifications which could involve the uterus or adnexa. Yes No N/A There is calcification of the prostate gland, vas deferens, or seminal vesicles. Yes No N/A unknown There are dystrophic or additional intra-abdominal soft tissue calcifications. Yes No The abdominal aorta, iliac arteries, or pelvic branches are calcified. Yes No The abdominal aorta diameter exceeds 3 cm or cannot be measured. Yes No cannot be measured There is aneurysmal dilatation of the common iliac arteries and/or branches. Yes No Bones and Extra-Abdominal Soft Tissues There is a lytic, blastic, or destructive lesion of the spine, pelvis, femurs, or ribs. Yes No There is an acute or chronic fracture of the spine, pelvis, femurs, or ribs. Yes No There is abnormality of the discs, SI or hip joints, or pubic symphysis or other incidental abnormality of the pelvis. Yes No There are dystrophic calcifications in the extra-abdominal soft tissues. Yes No There is air or a foreign body in the extra- abdominal soft tissues of the abdomen, pelvis, or perineum. Yes No There is abnormality of the lung bases and/or diaphragm. Yes No