News Archives: Radiology

Management of Bile Leaks

Conversion from laparoscopic to open cholecystectomy (because of an unexpected gallbladder tumor found at surgery) with rising bilirubin and suspected cholangitis one-week post op. Ultrasound (not shown) showed a fluid collection in the gallbladder fossa secondary to a suspected bile … Continue reading

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Blind Pouch Syndrome

45 year old male with iron deficiency anaemia 5 years post small bowel resection for crohn’s disease. Normal upper and lower GI endoscopy. Question:  What abnormality is present?                         … Continue reading

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Dropped or Spilled Gallstones

Question: 2 cases (a,b) of the same diagnosis in patient’s with right flank/right upper quadrant pain post cholecystectomy. What does a) the CT and b) MRI demonstrate?         Answer: 2 cases of dropped stones and associated sepsis. … Continue reading

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Radiation Enteropathy

Q: What do the examinations show?             A: There is a short tapered stricture with slightly irregular mucosa on the barium study (arrows). CT demonstrates focal thickening (arrows) from a radiation-induced stricture that was later … Continue reading

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Coronal CT Images Performed…

Coronal CT Images Performed 4 Days Post-Vaginal Hysterectomy Because of Right Loin Pain and Mild Derangement in Renal Function   Injuries to the urinary tract Injuries to the urinary tract are encountered less commonly in modern practice but do occur … Continue reading

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Coronal and Axial CT Images

Coronal and Axial CT Images in a Patient Post One-Week Anterior Resection for a Mid Rectal Cancer The coronal CT image shows segments of dilated and collapsed small bowel indicating small bowel obstruction along with a point of transition (arrow), … Continue reading

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CT in a Patient 5 Days Post Hysterectomy

CT in a Patient 5 Days Post Hysterectomy with Concerns Because of Low-Grade Sepsis What does this examination show and what are the differentials for this appearance? The CT demonstrates the typical appearances of a hemostatic agent within the pelvis. … Continue reading

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Radiology for the Surgeon: Pneumothorax

Pneumothorax (click to enlarge images) History: Shortness of breath for one week. Frontal upright chest x-ray with expiration on image 1 demonstrating a large right sided pneumothorax. The majority of the ipsilateral hemithorax is lucent with a partially collapsed lung … Continue reading

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Radiology for the Surgeon: Gallbladder Ultrasound

Normal and Abnormal Gallbladder Ultrasound (Click images to enlarge) Right upper quadrant ultrasound with a normal appearing gallbladder on image 1. The gallbladder wall is uniform without thickening or pericholecystic fluid. As well, there is no evidence of dilatation or … Continue reading

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Radiology for the Surgeon: Pneumatosis Intestinalis

Pneumatosis Intestinalis  Supine and upright images of the abdomen (image 1 and 2) and axial contrast-enhanced CT. On the supine and upright image, an irregular pattern of air is identified at the right lower quadrant delineating bowel wall in region of … Continue reading

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