Demographics:
79 years old, Female
Indication:
Abdominal pain
Findings
Lower chest
- Small hiatal hernia with mild mural thickening of the lower thoracic esophagus
- Mild dependent bilateral lower lobe atelectasis/scarring
- Coronary artery calcification
Abdomen/Pelvis
- Fluid-filled, distended proximal and mid jejunum measuring up to 5 cm in diameter with scattered air-fluid levels and transition point in the left hemiabdomen with decompressed loops of small bowel distally
- Fluid-filled, mildly distended stomach and duodenum
- Scattered diverticula in the sigmoid colon without adjacent inflammatory changes
- Surgical changes of prior sigmoidectomy
- Cholecystectomy
- Hysterectomy
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- No acute findings
- Polyarticular degenerative changes
- Osteopenia
Diagnosis
Small bowel obstruction
Sample Report
Small bowel obstruction, likely related to adhesions, with transition point in the mid jejunum.
Small hiatal hernia with mild mural thickening of the lower thoracic esophagus, which may relate to reflux esophagitis.
Discussion