Demographics:
65 years old, Female
Indication:
Worsening abdominal pain
Findings
- Portal venous gas
- Nonobstructive bowel gas pattern
- Contrast material in the colon highlighting multiple diverticula in the left lower quadrant
- Enlarged hepatic silhouette
Diagnosis
Portal venous gas
Sample Report
Portal venous gas, which raises concern for bowel ischemia. Consider upright or right side up decubitus radiographs or CT to assess for pneumoperitoneum.
Nonobstructive bowel gas pattern.
Hepatomegaly.
Discussion