Presentation on theme: "Imaging the GI Tract: Plain Film"— Presentation transcript:
1Imaging the GI Tract: Plain Film Anteroposterior Viewof the Abdomen WithPatient StandingLook for the location of the gasbubble in the stomachHow do we know the patientis standing?
2Air bubble in fundusof stomachLiver outlineT12VertebraeL1
3What Else Can We See on a Plain Film? Gas!air in stomachair in transversecolon
4Barium Contrast Study Of The Esophagus Vertebral columnA lateral view of theupper GI tractfollowing a bariumswallowThis imagedemonstratesnormal anatomy ofthe esophagusEsophagusPhrenic Ampulla(only seenradiologically)DiaphragmStomach
5Barium Contrast Study of the Stomach funduslesser curvatureduodenal cappyloruspyloric antrumperistalsis in action!rugaegreatercurvatureduodenum
6More of the Same... rugae gallbladder duodenum gas bubble in stomach fundusjejunumgreater curvaturebody
7Now Let's Start From the Other End splenic flexure A barium enema hepatic flexurehaustraascending colontransverse colonsigmoid colondescendingcolonrectum
8A Double Contrast Study The bowel is distended with air, and a small volume of barium is used to coat the mucosaHow has the patientbeen positioned?
12Percutaneous Transhepatic Cholangiography Water-soluble contrast material is injected directly into the liver via a fine needle introduced through the skingallbladder
13More of the Samecontrast in fundus ofgallbladder
14Postoperative Cholangiogram Water-soluble contrast was injected into the biliary system via a tube left in place following removal of the gallbladder (cholecystectomy)right hepatic ductleft hepatic ductcommon hepatic ductcommon bile ductpancreatic ductduodenum
15A-P View of the Lumbar Spine How many lumbarvertebrae are there?1What are the mainregional characteristicsof these vertebrae?2Large bodies3No ribs4Stout transverseprocesses5
1612th rib12th thoracicvertebrabody of L1superior articularprocess of L2transverseprocess of L2pediclesof L3inferior articularprocess of L4spine of L5lumbosacral joint
17Lateral View of the Lumbar Spine pedicle of L2 body of L2 inferior articularprocess of L4superior articularprocess of L5lumbosacral jointsacrum