Abdominal and Urinary System Imaging

Question 1

What is the systemic approach to reading abdominal images?

Answer 1

Demographics (Patient ID, DOB, Name)
Modality & view/orientation
Rotation, inspiration, penetration (RIP)
Bowel loops and gas - small and large
Extra-intestinal gas
Areas of calcification
Skeletal abnormalities
Other soft tissue outline

Question 2

What is the Rigler’s sign? (hint: double wall sign)

Answer 2

Gas present on both sides of the GI tract - pneumoperitoneum

Question 3

How is bowel volvulus seen on radiographs?

Answer 3

Coffee bean shape - round/oval ish