GI Radiology Ditchek Flashcards
Pneumatosis
Air in wall of bowel; Ominous/impending sign
Test for ruling out free air
Standing XR -> Look for crescent of air between liver + Diaphragm
Rule out free air in immbole patient
XR in left decubitus
Test of Choice SBO
CT
Test of Choice for Crohns
Fluoroscopy Small Bowl series
Video Esophagram
Swallow-study; stroke, etc
Test of Choice for Acute Abdomen
Abdominal CT
Acute Appendicitis Criteria
- Appendicolith (Obstruction at base)
- Unopacified (No air)
- Distended>6 mm
- Thick enhanced wall (Swelling)
- Assymetic cecal thickening
- PEri-appendiceal stranding (“Haziness”)
R Flank Pain
CT No Contrast - Rule out Kidney Stone
Acute Diverticulitis CT
- Translucent Bubble w/ tiny microperforation; No need to to take to surgery;
Role of CT in acute pancreatitis
Look for complication:
- Necrosis
- Pseudocyst
Test of Choice Gallstone
Ultrasound
Back-up test for failed Ultrasound for Gall Bladder
Nuclear Scan
MRCP
- Heavily Weighted T2 MRI
- Fluid/Bile very intense
- Used for Stones in CBD if not detected on ultrasound
TOC Fatty Liver
Noncontrast CT
Liver Lesion Characterization
MRI w/ + W/out contrast