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Case #5

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Demographics: 87 years old, Male
Indication: Confirm feeding tube placement

Findings

  • Feeding tube tip overlies the gastric fundus
  • Mural thickening of the transverse colon with thumbprinting
  • Nonobstructive bowel gas pattern
  • Surgical clips overlie the anatomic pelvis
  • Mild streaky bibasilar pulmonary opacities

Diagnosis

Colitis due to C. dificile

Sample Report

Feeding tube tip overlies the gastric fundus. Recommend advancement if postpyloric placement is desired.

Mural thickening of the transverse colon concerning for colitis, which could be infectious (to include C. dificile) or inflammatory in etiology.

Nonobstructive bowel gas pattern.

Mild streaky bibasilar pulmonary opacities, which likely represent atelectasis. Consider dedicated chest radiographs for further evaluation.

Discussion

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