Dimalibot, Norina Gene M.

Activity 4 April 10, 2020

ABDOMEN AP SUPINE VIEW

Few gas-filled, non-distended large bowel loops are seen in the upper abdomen.
There is paucity of air centrally and in the pre-sacral region.
The splenic shadow appears enlarged with medial displacement of the descending colon.
No unusual calcifications.
Psoas shadows are fairly delineated.
A double contour of the right hemidiaphragm is noted.
The optimally visualized underlying bones are unremarkable.
A radiopaque density (ureteral stent?)is seen in the pelvic region.

IMPRESSION:
-NON-OBSTRUCTIVE INTESTINAL GAS PATTERN.
-SPLENOMEGALY. CORRELATE CLINICALLY.
- INCIDENTAL FINDING OF DIAPHRAGMATIC EVENTRATION, RIGHT.
-RADIOPAQUE DENSITY, AS DESCRIBED.
CHEST PA VIEW

There are no definite active parenchymal infiltrates.

The heart is not enlarged.
The diaphragm and costophrenic sulci are intact.
The clavicles are poorly visualized to absent mediolaterally.
Bony spurs are noted along the margin of the mid thoracic vertebrae.

IMPRESSION:
-CLEAR LUNGS.
-CONSIDER CLEIDOCRANIAL DYSOSTOSIS. CORRELATE CLINICALLY.
- OSTEODEGENERATIVE CHANGES OF THE MIDTHORACIC SPINE.
LEFT FOOT AP VIEW

No gross evidence of fractures seen.

There is plantar flexion at the tibio-talar joint.
Inversion of the calcaneus is noted.
Above findings are suggestive of talipes equinovarus. Correlate clinically.
LUMBOSACRAL SPINE AP/L VIEWS

No gross evidence of fracture.

There is partial posterior displacement of L5 in relation to S1.
Vertebral body heights and intervertebral disk spaces are maintained.
Posterior elements are intact.
The line of weight bearing falls over the sacral promontory.
Note of retained contrast in the included large bowel loops.

IMPRESSION:
-RETROLISTHESIS OF L5 OVER S1, GRADE I.
CERVICAL SPINE AP/L VIEWS

There is upper tracheal tapering seen in the AP view.

No gross evidence of fracture or listhesis seen.
Alignment, vertebral body heights and intervertebral disk spaces are maintained.
Posterior elements are intact.

IMPRESSION:
-UPPER TRACHEAL TAPERING, SUGGESTIVE OF CROUP(LARYNGOTRACHEOBRONCHITIS). CORRELATE
CLINICALLY.
-UNREMARKABLE CERVICAL SPINE.
LEFT HAND OBLIQUE VIEW

No gross evidence of fracture or dislocation in the included osseous structures.

Incidental finding of absent ulnar styloid process is seen.
LEFT ANKLE AP/L VIEWS

No gross evidence of fracture or dislocation.

Calcific densities are seen vertically packed in the posterior aspect of the ankle, which may relate to
Achilles tendon ossification. Correlate clinically.
A bony spur is noted in the plantar surface of the calcaneous bone.
ABDOMEN AP VIEW

A soft tissue density(uterus) is seen occupying the abdomen centrally.

There is associated displacement of the gas-filled, non-distended bowels superiorly and laterally.
There are also overlying multiple calcific densities seen in the sacral and lumbar paravertebral regions
which resembles fetal spine and extremities respectively. Fetal skull not appreciated.
Psoas shadows are obscured.
The included lower thoracic and lumbar spine are unremarkable.

IMPRESSION:
-NON-OBSTRUCTIVE INTESTINAL GAS PATTERN.
-INCIDENTAL FINDING OF PREGNANCY WITH SUSPICIOUS ACRANIA. CORRELATE WITH CLINICAL AND
ULTRASOUND IMAGING.
SKULL LATERAL VIEW

No gross evidence of fractures seen in the optimally visualized osseous structures.

There is an increase in the size of the hypophyseal fossa, which may relate to a pituitary mass. Clinical
correlation with contrast enhanced MRI is suggested for further evaluation.
Metallic densities are noted in the maxillary central incisor and the right mandibular molar, which may
relate to dental implants.
CHEST PA VIEW

There are no definite active parenchymal infiltrates.

The heart is not enlarged.
A slither of radiolucency is seen beneath the right hemidiaphragm, which may relate to free air.
The left hemidiaphragm and both costophrenic sulci are intact.
No gross evidence of fracture or dislocation in the included osseous structures.

IMPRESSION:
-CLEAR LUNGS.
-RIGHT SUBDIAPHRAGMATIC LUCENCY, LIKELY PNEUMOPERITONEUM. CORRELATE CLINICALLY.
LEFT KNEE AP VIEW

A tiny bone fragment is seen near the medial femoral epicondyle which may relate to a chip fracture of
unknown donor site.
There is narrowing of the medial compartment of the tibio-femoral joint space, which may relate to a
degenerative joint disease such as osteoarthritis. Correlate clinically.
Mild osteopenic changes of the distal femur and proximal tibia are noted.
CHEST PA/LATERAL VIEWS

A nodular density is seen in the right lower lobe, which may relate to a solitary pulmonary nodule.
No active parenchymal infiltrates seen.
The heart is not enlarged.
The diaphragm and costophrenic sulci are intact.
No evident fracture or dislocation in the included osseous structures.

IMPRESSION:
-NODULAR DENSITY, AS DESCRIBED. CLINICAL AND CONTRAST ENHANCED CT SCAN CORRELATION IS
SUGGESTED FOR FURTHER EVALUATION.