WIDI - CA0335-Iliac Fracture

CA0335-Iliac Fracture

History

48 year old male with feeding tube placement. Previous trauma.

Exam

KUB/supine abdomen

Prior Study

multiple previous exams

Findings

Technique:

The entire abdomen/pelvis is not covered on the exam. The lower pelvis is excluded. The region of interest is covered on the exam.

Lines, tubes, drains, and foreign bodies:

The FT tip is at the junction of the second and third portions of the duodenum.

Stomach and bowel gas:

The stomach and bowel gas are normal.

Solid organs and intra-abdominal soft tissues:

The solid organs and intra-abdominal soft tissues are normal.

Extraluminal air:

There is no extraluminal air or an abnormal focal collection of air in the abdomen or pelvis.

Additional abdominal and pelvic calcifications:

None

Bones and extra-abdominal soft tissues:

There is a comminuted fracture of the left iliac wing. There is an exostosis of the right lateral ilium, and the left iliac fracture may involve a left exostosis. There is an old, healed fracture of the left posterior 8th rib which is partially visualized.

The lung bases are clear.

Impression

The feeding tube is in good position in the duodenum. There is a comminuted fracture of the left ilium.

Recommendations

Routine EMR communication regarding FT placement and comminuted iliac fracture in this patient with known trauma.

Acuity

Routine: routine communication