Raffidun, Zejan – barium enema

DISTAL COLONOGRAM STUDY

HISTORY: Patient is a known case of Hirschsprung's disease, s/p Ileostomy, Colostomy (12/14/2020)

TECHNIQUE: Anterograde and retrograde administration of water-soluble contrast mixed with PNSS (1:1
dilution) was done via a Foley catheter under fluoroscopic guidance.

FINDINGS:
Plain film shows non-specific and non-obstructive bowel gas pattern. No evidence of pneumoperitoneum.
Contrast examination showed no obstruction to the anterograde and retrograde flow of contrast material from
the ascending colon to the rectum.
There is reversal of the rectosigmoid index with transition zone seen at the distal sigmoid segment. There is
dilatation of the sigmoid colon proximally.
Patient tolerated the procedure well.
 
IMPRESSION:
ABOVE FINDINGS ARE IN KEEPING WITH KNOWN CASE OF HIRSCHSPRUNG'S DISEASE

Serrano, Emily - UGIS

Clinical Data: Patient is a known case of Breast Cancer Stage IV s/p 10 cycles of chemotherapy. Patient
repeatedly experienced intermittent abdominal pain with associated episodes of vomiting after every cycle of
chemotherapy. Consult was done and an EGD was performed revealing unremarkable findings, hence this
procedure was requested for further evaluation.

SMALL INTESTINAL SERIES

Scout film shows undilated gas filled bowel loops are seen with abundant retained fecal materials along the
course of the colon.
Introduction of barium contrast material per orem shows opacification of the stomach.
The stomach appears well opacified with normal rugal pattern.
Prolonged transit of the contrast media from the stomach to the small bowels.
Narrowing of the antropyloric region with deformed duodenal bulb.
Persistent mucosal irregularity in the first to second portion of the duodenum consider new growth. Only
segmental visualization of the rest of the small bowels with progression into the large bowels.

IMPRESSION: 
CONSIDER NEW GROWTH, FIRST TO SECOND PORTION OF THE DUODENUM. SUGGEST
ABDOMINAL CT SCAN CORRELATION
Calabias, Rosita - esophagogram
ESOPHAGOGRAM

HISTORY: Patient has 2 weeks history of odynophagia, globus pharyngis.

TECHNIQUE: Oral administration of barium contrast was done to visualize the upper gastrointestinal tract
under fluoroscopic guidance.

FINDINGS: 
Preliminary film shows no radioopaque densities. Visualized osseous and soft tissue structures are
unremarkable.

Examination of the upper gastrointestinal tract using contrast material showed a normal esophagus and free
flow of dye to the gastroesophageal junction.
There was no ulceration noted.
No evidence of intraluminal mass, mucosal irregularity and abnormal filling defects is appreciated.
There was no delay in the transit of opaque material.

IMPRESSION:         
NORMAL ESOPHAGOGRAM

Abellera, Daniel - SIS

ESOPHAGOGRAM + UPPER GASTROINTESTINAL SERIES + SMALL INTESTINAL SERIES

CLINICAL DATA:
Patient is a known case of Gastric Adenocarcinoma s/p Exploratory Laparotomy, Total Radical Gastrectomy,
Feeding Jejunostomy (February 23, 2021), currently on the 7th post-op day. 

Scout films show:
No radiopaque densities.
Undilated bowel loops are seen.
There are no air-fluid levels noted.
Flank stripes are not bulging.
Feeding jejunostomy tube is seen with its tip at the level of the 10th posterior rib.
Two drainage tubes are seen with the tips at the level of L5.
Surgical staples are noted.
Degenerative changes are seen in the evaluable vertebrae.

Introduction of water soluble contrast material per orem shows opacification of esophagus and free flow of dye
from the cervical esophagus to the esophagojejunal anastomosis and into the small intestine.
The rest of the small intestines demonstrate a smooth feathery pattern with no filling defects appreciated.
No areas of narrowing, mucosal irregularities, or leakage of contrast material were noted.

IMPRESSION:
UNREMARKABLE STUDY