USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed.

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Marian Atkins
7 years ago
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1 Miss. NAMITA OZA DR. ASHOK M. MULEKAR MD 24 April 2011 USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed. The liver is normal in size, shape, position and echotexture. There is no evidence of any focal or diffuse solid or cystic lesion. There is no evidence of any intra or extra hepatic biliary radicle dilatation. The gall bladder is normal in size and contents. There is no evidence of any gall stone seen. The CBD is normal in course and caliber. The pancreas, spleen and lt. kidney are normal in size, shape, position and echotexture. The rt.kidney is small in size however normal in position and echotexture. Both kidneys show normal cortico-medullary echotexture differentiation. There is 7mm size calculus seen in lt. renal mid pole PC-system echoes. There is no evidence of any hydronephrosis seen. The rt.kidney measures 8.5 x 3.8 cm in size. The lt.kidney measures 11.0 x 5.0 cm in size. The AP and polar cortical thickness are 12mm and 14mm of the rt.kidney and 16mm and 18mm of the lt.kidney. The major abdominal vasculature appears normal. There is no evidence of any paraaortic or paracaval lymphadenopathy seen. There is no evidence of any free fluid in the abdomen. Both domes of the diaphragms show normal respiratory excursions. The urinary bladder is well distended and show minimal mucosal thickening. On post void scan there is 39ml residue of urine. CONCLUSION: 1) The rt.kidney is small in size however normal in position and echotexture. 2) There is 7mm size calculus seen in lt. renal mid pole PC-system echoes. 3) The urinary bladder show minimal mucosal thickening (cystitis). 4) On post void scan there is 39ml residue of urine. P. N. these findings do not exclude pathology related to bowel. Suggest CT-renal angio.

2 Miss. NAMITA OZA DR. ASHOK M. MULEKAR MD 24 April 2011 USG OF THE ABDOMEN AND PELVIS Real time ultrasonography of the abdomen and pelvis has been performed. The uterus is normal in size, shape, position and echotexture. The endometrial echo is 3MM thin and linear. The uterus measures 8.5 x 3.5 x 3.5 cm in size. Both ovaries are normal in size and echotexture. The rt. ovary measures 2.0 x 1.5 x 1.5 cm in size. The lt. ovary measures 2.2 x 1.2 x 1.2 cm in size. There is no evidence of any solid or cystic lesion seen in both adnexal regions. There is no evidence of any free fluid in the pelvis. Conclusion: 1) The uterus is normal in size, shape, position and echotexture. 2) The endometrial echo is 3MM thin and linear. 3) Both ovaries are normal in size and echotexture.

3 Mr. SURESH MAIN DR. D.H.KATKAR.D.H.M.S.,C.C.H.,C.G.O.,D.A.C. 24 April 2011 The lung fields appear hyperlucent. CHEST PA VIEW The hilar shadow appears normal. There is no evidence of any hilar lymphadenopathy. The costo-phrenic angles are clear. The heart is normal in size. The aorta is normal. The bronchovascular markings are sparse. The trachea is central in position. Both domes of the diaphragm show flattening. The ribs are horizontal. Impression: Above findings are suggestive of emphysematous chest. Please correlate with clinical and other investigations findings.

4 B/O TRUSHNA SAWANT DR. BAKUL PAREKH MD,DCH. 24 April 2011 PORTABLE CHEST AP VIEW The lung fields are clear. The hilar shadow appears normal. There is no evidence of any hilar lymphadenopathy. The costo-phrenic angles are clear. The heart is normal in size. The aorta and other vasculature appear normal. The trachea is central in position. Both domes of the diaphragm and bony thorax appear normal. Impression: Please correlate with clinical and other investigations findings. X-RAY ABDOMEN (STANDING) AP VIEW The renal outline and the psoas margins are obscured by bowel shadows. There is no evidence of any abnormal radio-opaque density along the path of the urinary tract. The stomach shadow is prominent. There are few air/fluid level seen in pelvis with gas in the large bowel too. The visualized skeleton appears normal. The sacro-iliac joints appear normal. The bowel gas pattern appears normal. There is no evidence of any fee gas in the abdomen. CONCLUSION: The stomach shadow is prominent. There are few air/fluid level seen in pelvis with gas in the large bowel too (? Pyloric obstruction).

5 Mrs. MANDA MORE DR. BHASKAR P. SHAH MD,DM. 24 April 2011 BARIUM MEAL FOLLOW-THROUGH Passage of barium through stomach into small bowel into colon was smooth and unobstructed. The stomach emptying has occurred in 90-min. The stomach is well distended and do not show any extrinsic mass effect or intrinsic filling defect. The jejunal loops show minimal coarse mucosal pattern with thorn effect. There is no evidence of any stricture or abnormal dilatation seen. There is no evidence of any intrinsic or extrinsic filling defect seen. The ileal loops are normal in caliber. The mucosal pattern appears normal. There is no evidence of any stricture or abnormal dilatation, diverticulosis or polyposis seen. There is no evidence of any extrinsic mass effect or intrinsic filling defect seen. The ileo-caecal junction is normal in position. The terminal ileum shows normal mucosal pattern. The caecum does not show any filling defect. The visualized portion of large bowel appears normal. The appendix is NOT visualized (24hr film taken). Conclusion: These findings are suggestive of inflammatory affection of jejunum (? Non -specific inflammatory pathology??koch's etiology).

6 Mr. BHARATBHAI OZA DR. ASHOK M. MULEKAR MD 24 April 2011 CHEST PA VIEW The lung fields are clear. The hilar shadow appears normal. There is no evidence of any hilar lymphadenopathy. The costo-phrenic angles are clear. The heart size is within normal limit. The aorta and other vasculature appear normal. The trachea is central in position. Both domes of the diaphragm and bony thorax appear normal. Impression: No active lung lesion seen. Please correlate with clinical and other investigations findings.

7 MR. SUNIL BHANUSHALI DR. BHARAT L. BHANUSHALI X-RAY K.U.B. 24 April 2011 The renal outline is well delineated. The psoas margins are partially obscured by bowel shadows. There is 1.2cm x 5mm size radio-opaque density seen along the path of the lt. upper ureter at L2 level. The visualized skeleton appears normal. The hip joints and sacro-iliac joints appear normal. The bowel gas pattern appears normal. Impression: There is 1.2cm x 5mm size radio-opaque density seen along the path of the lt. upper ureter at L2 level.

8 USG OF THE KUB-ABDOMEN Real time ultrasonography of the abdomen has been performed. The liver is normal in size, shape, position and echotexture. There is no evidence of any focal or diffuse, solid or cystic lesion seen. There is no evidence of any intra or extra hepatic biliary radicle dilatation seen. The gall bladder is normal in size and contents. There is no evidence of any gall stone seen. The CBD is normal in course and caliber. The pancreas and spleen shows normal morphological characters. Both kidneys are normal in size, shape and position. There is moderate degree of dilatation of the pc-system and upper ureter of the lt.kidney seen. The rt.kidney shows normal pc-system echoes. The rt.kidney measures 10.5 x 4.5 cm in size. The lt.kidney measures 11.8 x 5.5 cm in size. The AP and polar cortical thickness are 13mm. & 15mm. Of the rt. Kidney. And 14mm. & 16mm. Of the lt. Kidney. The major abdominal vasculature appears normal. There is no evidence of any paraaortic or paracaval lymphadenopathy seen. There is no evidence of any free fluid in the abdomen. The urinary bladder is well distended and appears normal. There is ureteric jet seen only from rt. ureter during scanning period. The prostate gland is normal in size and echotexture. It measures 2.5 x 2.0 x 2.0cm in size. CONCLUSION: 1) Moderate degree of dilatation of the pc-system and upper ureter of the lt.kidney suggests lt.ureteric obstruction (? Calculus). 2) There is ureteric jet seen only from rt. ureter during scanning period. Please correlate with clinical and other investigation findings (KUB sos IVP).

9 Mrs. MANISHA MAHADIK VED S HEALTH CARE CENTRE 24 April 2011 USG OF THE PELVIS Real time ultrasonography of the pelvis has been performed. The urinary bladder is well distended and appears normal. The uterus is RETROVERTED IN position however normal in size, shape and echotexture. The endometrial echo is 3mm thin and linear. The uterus measures 8.5 x 4.0 X 4.5 cm in size. Both ovaries are normal in size and echotexture. The rt. ovary measures 2.0 x 1.5 x 1.5 cm in size. The lt. ovary measures 2.2 x 1.2 x 1.2 cm in size. There is no evidence of any solid or cystic lesion seen in both adnexal regions. There is no evidence of any free fluid in the pelvis. Survey scans through liver; gall bladder, pancreas, spleen and both kidneys do not show any abnormality. Conclusion: 1) The uterus is RETROVERTED IN position however normal in size, shape and echotexture. 2) The endometrial echo is 3MM thin and linear. 3) Both ovaries are normal in size and echotexture.

10 Ms. VRUSHALI TAMBE DR. VIJAY T. SHAH MBBS. 24 April 2011 X-RAY LT.FOOT OBL. VIEW X-RAY LT.ANKLE AP AND LAT. VIEW There is no evidence of any osteolytic or sclerotic lesion seen. The interphalangeal, phalango-metatarsal, intertarsal and ankle joint appear normal. There is no evidence of any fracture seen. There is soft tissue swelling seen. Impression: There is soft tissue swelling seen.

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins.

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. LMP of child-bearing age female patients should be checked. 1. Acute abdomen