RADIOLOGI

Pengambilan filem X-Ray (plain)

dalam pemeriksaan abdomen
Tujuan
 Membantu dalam siasatan asas
pemeriksaan abdomen, namun ianya
tidaklah rutin.
 Membantu dalam mengesan ‘gas’dibawah
diafragma – ‘acute abdomen’
 Kulkuli – ginjal, saluran hempedu
 Kalsifikasi – pankreas
Pemerhatian filem X-ray abd.
Antara struktur boleh lihat – filem x-ray abd.
- sempadan (Boundaries) : diafragma, otot
psoas, ‘extra peritoneal fat’ (the flank
lines)
- ‘Hollow Viseral Gas’ (udara dlm organ)
: udara dlm gaster, usus kecil dan besar
- Organ : Hepar, Limpa, Ginjal (size)
- Saluran darah : Aorta (kalsifikasi)
Keabnormalan dgn filem x-ray
1. Kalkuli ginjal
2. Kalkuli biliari
3. Gas(udara) bebas di peritonium
4. Kalsifikasi di pankreas

sila lihat – 5.21, 5.22, 5.23, 5.24, 5.25, 5.26

CT SCAN
ultrasound
 High frequency wave :
20,000 khz Vibrating
/second
 Fetal monitoring
 Imaging internal organ
 In high frequency –
cleaning of surgical and
dental instruments
1st
2nd
3rd appendicolith
4th coint in child esophagus
5th Dermoid in pelvis
6th surgical lap towel
7th Pancreatitic calcification
8th ring in stomach
9th Pancreatic calcification
10th Bladder calculus
11th Distended small bowel
Distended small bowel loop (A) &
Air in the colon (B)
Air under diaphfragm
Left lateral decubitus view (air)
Acute Pancreatitis
Initial CT
Abdomen (colon drop down)
Multiple calcification over
pancreas
CT abdomen (cari tak betul)

A = GB
B = pencreatitic calsificatin
C = Rt. Kidney
D = sperior mesenteric artery
E = duodenum
 Ct scan Abdomen (status of
pancreas)
 The edematous
appearance of the
pancreas, fluid in the body
and tail portion of the
pancreas, and fluid
extending along the left
anterior pararenal space
all suggest acute
inflammation of the
pancreas. There is a
demarcated fluid collection
which has the appearance
of a "pseudocyst". (CT )
Ultra sound
 the best initial
imaging modality to
confirm biliary
dilatation?
Ct Scan Abdomen
 "E" points to bilateral
pleural effusions. The
fluid on both sides is
posterior to the
diaphragms, therefore
it is located in the
pleural spaces.
 "A" points to
unopacified dilated
biliary radicals.