Dimalibot, Norina Gene M.

Activity 5

ABDOMEN AP SUPINE VIEW

Gas-filled, non-distended large bowel loops are seen across the abdomen.
Note of significant narrowing of the large intestine at the splenic flexure.
There also seemed to be a loss of normal pattern of haustration in the segments proximal and
distal to the narrowed portion of the colon.
There is paucity of air in the pre-sacral region.
Note of a distended stomach.
No organomegaly or unusual calcifications.
The psoas muscles are well-delineated.
Underlying osseous structures are unremarkable.

IMPRESSION:
-FINDINGS ARE SUGGESTIVE OF COLON CARCINOMA. CONTRAST ENHANCED CT
SCAN IS SUGGESTED FOR FURTHER EVALUATION.
-ULCERATIVE COLITIS.
-GASTRIC DISTENTION.
CHEST PA/L VIEWS
There are no definite active parenchymal infiltrates in the left lung.
The left upper lobe partially crossed the midline, seeming to be herniated into the contralateral
hemithorax.
There is also marked deviation of the trachea and mediastinal structures towards the right.
True heart size cannot be ascertained in this study.
The right hemidiaphragm and its sulcus are obscured.
The left hemidiaphragm and its sulcus are intact.
No gross evidence of fracture or dislocation in the included osseous structures.

IMPRESSION:
-CONSIDER PULMONARY AGENESIS, RIGHT. CT SCAN CORRELATION IS SUGGESTED.
CHEST PA VIEW
A round soft-tissue mass with a surrounding cavity and a radiolucent overlying crescent of air is
seen in the right middle lobe.
The heart is not enlarged.
The diaphragm and the costophrenic sulci are intact.
The midthoracic spine is deviated to the right.
No evident fracture or dislocation seen in the included osseous structures.

IMPRESSION:
-CONSIDER ASPERGILLOMA, RIGHT. CHEST CT SCAN IN PRONE AND SUPINE
POSITION IS SUGGESTED TO FURTHER EVALUATE.
-THORACIC DEXTROSCOLIOSIS.
CHEST PA VIEW
Numerous tiny nodular calcific densities are seen distributed in both lungs with middle to lower
zone predilection.
The heart does not appear enlarged.
The diaphragm and costophrenic sulci are intact.
The optimally visualized included osseous structures are unremarkable.

IMPRESSION:
-ALVELOAR MICROLITHIASES, BILATERAL.
ABDOMEN AP/CROSS-TABLE LATERAL (JACK-KNIFE POSITION) VIEWS

Gas-filled distended large bowel loops, particularly the rectosigmoid, are seen across the
abdomen.
Pre-sacral gas is noted.
In the prone lateral view a round radiopaque marker is seen placed in the anal dimple. The
distance between the gas bubble in the rectum to the marker is approximately less than 2.0cm
No organomegaly noted.
Psoas shadows not appreciated.
The underlying bones are unremarkable.

IMPRESSION:
-ANAL ATRESIA, LOW TYPE.
RIGHT HAND AP VIEW
An expansile lytic lesion, with thin sclerotic margins is seen in the 4th metacarpal which may
relate to Aneurysmal Bone Cyst. Correlate clinically and/or with biopsy to rule out other
aggressive masses.
RETROGRADE URETHROGRAM LATERAL VIEW
Upon introduction of contrast there is smooth filling from the urethra up to the urinary bladder.
However, there is note of contrast filling of a blind-ending rectal pouch which appears to be
connected with the membranous urethra via a fistula.
Included bowel loops are non-distended.
The sacral bones are partially developed.

IMPRESSION:
-CONSTELLATION OF FINDINGS MAY RELATE TO AN ANORECTAL MALFORMATION.
CORRELATE CINICALLY.
-RECTOURETHRAL FISTULA.
-SACRAL AGENESIS.
PELVIS LATERAL VIEW
No gross evidence of fracture or dislocation.
Note of a normal variant, 90-degree anterior angulation of the distal coccyx.
The joint spaces are intact.
RIGHT SHOULDER AP/SCAPULAR Y VIEW
There is anterior displacement of the humeral head in relation to the glenoid fossa.
A cortical depression is noted in the lateral aspect of the head of the humerus.

IMPRESSION:
-ANTERIOR GLENO-HUMERAL JOINT DISLOCATION, WITH ASSOCIATED HILL-SACHS
DEFORMITY.
CHEST PA/L VIEWS
There are no definite active parenchymal infiltrates in the left and partially visualized right lung.
A large soft tissue density is seen in the anterior mediastinum, obliterating the ipsilateral cardiac
border. Hilar vessels are still appreciated through the lesion.
True heart size cannot be ascertained.
The diaphragm and costophrenic sulci are intact.
No gross evidence of fracture and dislocation in the included osseous structures.

IMPRESSION:
-ANTERIOR MEDIASTINAL MASS. CORRELATION WITH CONTRAST ENHANCED CT SCAN
IS SUGGESTED FOR FURTHER EVALUATION.

The hilum overlay sign is useful in differentiating cardiac enlargement from a mediastinal
mass. It refers to an abnormally dense hilum on frontal chest radiograph with preserved
visualization of the hilar vessels.
LEFT FOOT AP VIEW

No evident fracture or dislocation.

Linear lucencies are seen in the lateral margin of the base of the fifth metatarsal, likely
apophyses of the foot.
Joint spaces are intact.