GI Tract Path Images

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    11

    GI Tract PathologyGI Tract Pathology

    ImagesImages

    RTE 2782RTE 2782

    Spring 2006Spring 2006

    Michael Fugate, M.Ed.,R.T.(R), Professor

    Radiography Program

    Santa Fe Community College

    Gainesville, FL.

    Michael Fugate, M.Ed.,R.T.(R), Professor

    Radiography Program

    Santa Fe Community College

    Gainesville, FL. 22

    KUB scoutKUB scout

    33

    KUB scout showing poor bowel prep for aKUB scout showing poor bowel prep for a

    barium enema exam.barium enema exam.

    44

    Asthenic Body BuildAsthenic Body Build

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    55

    VolvulusVolvulus

    66

    IleusIleus

    77

    Ileus caused by intussceptionIleus caused by intussceptionIleus caused by intussception

    88Air-fluid levels on uprightAirAir--fluid levels on uprightfluid levels on upright

    abdo nabdo n

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    99

    IleusIleus

    1010

    IleusIleus

    1111

    Ileus caused by a volvulusIleus caused by a volvulusIleus caused by a volvulus1212

    Obstructed StomachObstructed Stomach

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    1313

    MegacolonMegacolon

    1414

    AppendocolithAppendocolith

    1515

    gallstoneskidney stones

    1616

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    1717 1818

    FB (dice)FB (dice)FB (dice)

    1919

    Diaphragmatic HerniaDiaphragmatic Hernia

    2020

    Air in fundus of stomach in chest cavity behind

    heart

    Air in fundus of stomach in chest cavity behindAir in fundus of stomach in chest cavity behind

    heartheart

    Identify this pathology.Identify this pathology.Identify this pathology.

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    2121

    This is a large diaphragmatic hiatal hernia.This is a large diaphragmatic hiatal hernia.

    The fundus of the stomach asThe fundus of the stomach as herniatedherniated

    up through the diaphragm into the chestup through the diaphragm into the chest

    cavity.cavity.

    Sometimes this is called anSometimes this is called an

    incarcerated stomachincarcerated stomach..

    2222

    Very Extensive Hiatal HerniaVery Extensive Hiatal Hernia

    2323

    EpiglottisEpiglottis

    2424

    Esophageal AtresiaEsophageal Atresia

    String signString sign

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    2525

    Identify this pathology.Identify this pathology.Identify this pathology.

    2626

    Left hemi

    diaphragm

    Left hemiLeft hemi

    diaphragmdiaphragm

    CA of distal esophagusCA of distal esophagusCA of distal esophagus

    Fundus

    2727

    AchalasiaAchalasia

    String signString sign 2828

    AchalasiaAchalasia

    String signString sign

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    3333

    ShatzkiShatzkis Rings Ring

    3434

    Hiatal HerniaHiatal Hernia

    3535

    Hiatal HerniaHiatal Hernia

    3636

    Hiatal HerniaHiatal Hernia

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    3737

    PUDPUD

    3838

    PUDPUD

    3939

    Gastric carcinomaGastric carcinomaGastric carcinoma4040

    Gastric Cancer ( body ofGastric Cancer ( body of

    stomach )stomach )

    Irregular, ratty

    appearance of mucosa

    Irregular, ratty

    appearance of mucosa

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    4141

    Pyloric StenosisPyloric Stenosis

    4242

    Pyloric StenosisPyloric Stenosis

    String sign String sign

    4343

    Pyloric StenosisPyloric Stenosis

    4444

    BezoarBezoar

    Demonstrated as a filling defectDemonstrated as a filling defect

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    4545

    GG--TubeTube

    4646

    Gastric BypassGastric Bypass

    Gastrografin used as contrastGastrografin used as contrast

    4747

    SCUGISCUGISCUGI

    GallstonesGallstones

    4848

    AAA

    CCC

    DDDBBB

    SCUGISCUGISCUGI

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    5353

    Diverticulum of

    stomach

    Diverticulum of

    stomach

    5454

    DCUGIDCUGIDCUGI

    What position is the patient?What position is the patient?What position is the patient?

    5555

    Patient is in the LPO position.

    Barium fills the fundus area, while the CO2 migrates to

    the distal portion of stomach. ( body and pylorus )

    5656

    AAA

    BBB

    CCC

    DDD

    EEE

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    5757

    A = FundusA = Fundus

    B = PylorusB = Pylorus

    C = DuodenumC = Duodenum

    D = JejunumD = Jejunum

    E = IleumE = Ileum

    5858

    SpotSpot of TIof TI

    Compression paddle

    5959

    EnteroclysisEnteroclysis

    6060

    ColonoscopyColonoscopy

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    6161

    AAA

    BBB

    CCC

    6262

    A is the cecumA is the cecum

    B is the sigmoid colonB is the sigmoid colon

    C is extensive colitis and diverticulitisC is extensive colitis and diverticulitis

    6363

    DCBEDCBEDCBE

    AAA

    BBB

    CCC

    DDD

    6464

    A is the hepatic or right colic flexureA is the hepatic or right colic flexure

    B is the sigmoid colonB is the sigmoid colon

    C is the transverse colonC is the transverse colon

    D is the descending colonD is the descending colon

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    6565DCBEDCBEDCBE

    What position is the patient?What position is the patient?What position is the patient?

    tumortumortumor

    6666Identify position of the patient?Identify position of the patient?Identify position of the patient?

    6767

    DCBEDCBEDCBE

    Which decubitus is this?Which decubitus is this?Which decubitus is this?6868

    The upshotfor the sigmoid colonTheThe upshotupshotfor the sigmoid colonfor the sigmoid colon

    ColitisColitisColitis

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    6969

    PolypPolypPolyp

    DCBEDCBEDCBE

    7070

    Notice how well the DCBE

    technique shows the mucosa

    Notice how well the DCBENotice how well the DCBE

    technique shows thetechnique shows the mucosamucosa

    polyppolyppolyp

    7171

    polypspolypspolyps

    7272

    DiverticulosisDiverticulosis

    List some differences between polyps andList some differences between polyps anddiverticulae?diverticulae?

    How has the increased use of endoscopy affectedHow has the increased use of endoscopy affectedthe accuracy GI tract pathology?the accuracy GI tract pathology?

    How has the increased use of endoscopy affectedHow has the increased use of endoscopy affectedthe number of barium studies in the radiologythe number of barium studies in the radiology

    department?department?

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    7373

    Duodenal DiverticulumDuodenal Diverticulum

    7474Identify pathologyIdentify pathologyIdentify pathology

    7575

    Diverticulosis of VermiformDiverticulosis of Vermiform

    AppendixAppendix

    7676

    Identify pathology.Identify pathology.Identify pathology.

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    7777

    CrohnCrohns Diseases Disease( Regional Enteritis)( Regional Enteritis)

    7878

    CrohnsDiseaseCrohnCrohnssDiseaseDisease

    7979Crohns DiseaseCrohnCrohns Diseases Disease

    Whats this?WhatWhats this?s this?

    8080

    SBFTSBFTSBFT

    Identify pathologyIdentify pathologyIdentify pathology

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    8181Colon cancerColon cancerColon cancer 8282

    Apple core tumor of cecalApple core tumor of cecalareaarea

    8383

    Apple core of cecum areaApple core of cecum area

    8484

    TicsTics on a lateral rectum projectionon a lateral rectum projection

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    8585

    StringString sign on colon cancersign on colon cancer

    8686

    Apple Core or napkin ring defectApple Core orApple Core or napkin ringnapkin ring defectdefect

    What pathology is most likely?What pathology is most likely?What pathology is most likely?

    8787

    Colon CancerColon Cancer

    Apple CoreApple Core

    8888

    Apple CorelesionApple CoreApple Corelesionlesion

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    8989

    Colon CancerColon CancerColon Cancer

    9090

    ColitisColitis

    9191

    Hosepipe or

    stovepipe appearance

    of colitis

    Hosepipe orHosepipe or

    stovepipestovepipe appearanceappearance

    of colitisof colitis

    Wheres the

    haustra?

    WhereWheres thes the

    haustra?haustra?

    9292

    Lateral Projection of RectumLateral Projection of RectumLateral Projection of Rectum

    pathologypathologypathology

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    9393

    IntussceptionIntussception

    9494

    HirschsprungHirschsprungs ( Megacolon )s ( Megacolon )

    9595

    HirschsprungHirschsprungs Diseases Disease

    9696

    Pharyngeal PouchPharyngeal Pouch