> Plain abdominal radiograph

> Patient on supine position, anterior view.

> Multiple dilated loops of bowel in the small bowel found in the central
abdomen and upper abdomen.

> Gas is not seen in the large bowel nor rectum.

> Rigler sign noted on the left side where both the inside and outside bowel
wall are visualized.

> No evidence of hernia, gallbladder stones, nor intraluminal mass to suggest

potential cause of dilated loops

> Findings are in keep with small bowel obstruction

> Correlate with the history of unrecalled abdominal surgical procedure

Impression: Small bowel obstruction secondary to intestinal adhesions from

previous abdominal surgery

abdominal pain, had unrecalled abdominal surgery previously

MENDEZ, RACEALLE AG NINO P.

GROUP 9
 calcifications conform to the anatomic location of the renal collecting system.
Findings are consistent with nephrocalcinosis.

> Small smooth calcifications seen in the urinary bladder suggests calculi

> Mottling appearance in the sigmoid colon suggest fecal material

> Bones are normal in appearance.

> Correlate with calcium levels.

Impression: Nephrocalcinosis

occasional flank pain, recurrent UTI*

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Plain abdominal radiograph

> Posterior view

> Multiple areas of cloud-like calcifications are seen bilaterally, suggesting

these calcifications have formed within a solid organ or tumor. The
epigastric pain, history of ulcer*

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Plain chest radiograph

> Posteroanterior view

> Trachea is midline. No bony deformities noted. Increase in vascular markings

with opacifications in both lung fields noted suggest with bilateral pneumonia.

> Multiple dilation of large bowel seen in left upper quadrant of the abdomen,
presence of both sides of bowel wall (Rigler sign) is noted along the bowel.

> Correlate clinically with perforating peptic ulcer.

 separation of the loops of bowel from wall thickening. Multiple curvilinear
lucency found along the bowel walls which suggests pneumatosis intestinalis.

> Correlate clinically with Necrotizing enterocolitis.

Impression: Necrotizing enterocolitis

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Plain abdominal radiograph

> Patient on supine position, anterior view.

> Multiple dilated loops in the bowel. Presence of linear radiolucency

paralleling the bowel wall representing air in the bowel wall and abnormal
ruq pain*

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Ultrasonography of Abdomen

> Ultrasound scan shows a distended gallbladder, with thickening of walls

consisting of alternating layers of hypoechoic and hyperechoic bands.

> multiple large echogenic stones are seen in the gallbladder

> Findings are in keep for Gallbladder stones

Impression: Cholelithiasis with Cholecystitis

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> CT scan

> Axial Phase

> Ovoid regions of fat density with hyperdense surrounding halo and extensive
fat stranding is seen

Impression: Epiploic appendagitis

> Ultrasound

> Ultrasound shows normal wall thickness in a contracted lumen

> Lumen shows homogenous echogenic content

> There is noted preserved oval-shape structures and outline is intact which
suggests mesenteric adenitis

Impression: Mesenteric Adenitis

 > Findings are in keep with large bowel obstruction

> Incidental findings of increase density in the left femur which is probably an
implant is displaced anteriorly.

> Suggest CT-scan study for confirmation of possible obstruction

Impression: Large Bowel Obstruction

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Plain abdominal radiograph

> Patient on supine position, anterior view.

> Multiple distended loops of bowel in the large bowel found in the central
abdomen

> No free gas noted

> Presence of mass is seen in the rectum

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> Ultrasound of the Abdomen

> Ultrasound demonstrates a blind ending tubular structure with a thick wall
and a distended lumen representing an inflamed and distended appendix.

> An echogenic structures with posterior acoustic shadowing are contained in

the appendix which is consistent with appendicoliths

Impression: Appendicitis
 > There is demonstration of a hazy increase in attenuation suggest infiltration
of pericolonic fat.

> There is noted peripheral contrast enhancement in the portion of the sigmoid
colon

> Findings suggests acute diverticulitis

Impression: Acute diverticulitis

MENDEZ, RACEALLE AG NINO P.

GROUP 9

> CT scan of the abdomen

> Axial phase

> Presence of multiple diverticula on the bowel structures, associated with

acute inflammation of the sigmoid colon.