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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