Demographics:
31 years old, Male
Indication:
Burn, check NG tube placement
Findings
- NG tube is positioned with tip projecting at the GE junction
- Feeding tube tip overlies the proximal jejunum
- Diffuse distension of the stomach, small bowel, and colon with bubbly lucencies associated with bowel loops in the right and left lateral abdomen
- Portal venous gas
- Pelvic thermistor
- Right groin approach small caliber catheter with tip overlying the right hemipelvis
- Body wall edema with edematous appearance of the scrotum
- Bibasilar dependent airspace opacification
Diagnosis
Portal venous gas
Pneumatosis
Sample Report
NG tube is positioned with tip projecting at the GE junction. Recommend advancing this tube 5-10 cm for placement within the stomach.
Portal venous gas with likely pneumatosis involving loops of bowel in the lateral right and left abdomen. These findings are concerning for bowel ischemia. Recommend surgical consultation and correlation with lactate values.
Bibasilar dependent airspace opacification. Recommend dedicated chest radiographs for further evaluation.
Discussion
References