RADIOLOGI - ABDOMEN

Pengambilan filem X-Ray (plain) dalam pemeriksaan abdomen

Disediakan Oleh : Nassruto

Tujuan

• Membantu dalam siasatan asas pemeriksaan abdomen, namun ianya tidaklah rutin.

• Membantu dalam mengesan ‘gas’dibawah diafragma – ‘acute abdomen’

• Kulkuli – ginjal, saluran hempedu• Kalsifikasi – pankreas

Pemerhatian filem X-ray abd.

Antara struktur boleh lihat – filem x-ray abd.- sempadan (Boundaries) : diafragma, otot psoas, ‘extra

peritoneal fat’ (the flank lines)- ‘Hollow Viseral Gas’ (udara dlm organ)

: udara dlm gaster, usus kecil dan besar- Organ : Hepar, Limpa, Ginjal (size)- Saluran darah : Aorta (kalsifikasi)

Keabnormalan dgn filem x-ray

1. Kalkuli ginjal2. Kalkuli biliari3. Gas(udara) bebas di peritonium4. Kalsifikasi di pankreas

sila lihat – 5.21, 5.22, 5.23, 5.24, 5.25, 5.26

CT SCAN

ultrasound

• High frequency wave : 20,000 khz Vibrating /second

• Fetal monitoring• Imaging internal organ• In high frequency – cleaning

of surgical and dental instruments

1st

2nd

3rd appendicolith

4th coint in child esophagus

5th Dermoid in pelvis

6th surgical lap towel

7th Pancreatitic calcification

8th ring in stomach

9th Pancreatic calcification

10th Bladder calculus

11th Distended small bowel

Distended small bowel loop (A) & Air in the colon (B)

Air under diaphfragm

Left lateral decubitus view (air)

Acute Pancreatitis

Initial CT

Abdomen (colon drop down)

Multiple calcification over pancreas

CT abdomen (cari tak betul)

A = GBB = pencreatitic calsificatinC = Rt. KidneyD = sperior mesenteric arteryE = duodenum

Ct scan Abdomen (status of pancreas)

• The edematous appearance of the pancreas, fluid in the body and tail portion of the pancreas, and fluid extending along the left anterior pararenal space all suggest acute inflammation of the pancreas. There is a demarcated fluid collection which has the appearance of a "pseudocyst". (CT )

Ultra sound

• the best initial imaging modality to confirm biliary dilatation?

Ct Scan Abdomen• "E" points to bilateral

pleural effusions. The fluid on both sides is posterior to the diaphragms, therefore it is located in the pleural spaces.

• "A" points to unopacified dilated biliary radicals.