Demographics:
69 years old, Female
Indication:
Abdominal pain and distension
Findings
- Gaseous distension of the descending and sigmoid colon, measuring up to 6.2 cm in diameter
- Large stool burden in the cecum and ascending colon
- Small bowel loops appear decompressed
- No evidence of free subdiaphragmatic air
- Right upper quadrant surgical clips
- Mild dependent atelectasis in the visualized lung bases
Diagnosis
Obstructing colon cancer
Sample Report
Findings concerning for large bowel obstruction at the level of the distal sigmoid colon. Recommend CT for further assessment.
Large proximal colonic stool burden.
Small bowel loops appear nondistended.
No evidence of pneumoperitoneum.
Discussion