No focal biliary stricture or filling defects are identified. Approximately cc of thin barium was given. Approx cc of clear CSF was passively obtained and sent to lab for analysis. Please see CT myelogram report for imaging details.
The small bowel is [of normal course and caliber]. The patient swallowed barium and effervescent granules [without difficulty or aspiration]. Preliminary image demonstrates [normal bowel gas pattern]. Appendix is [not] visualized. No extravasation of contrast.
Colon is normal in size and position. No retrograde filling of afferent loop. Kidneys are [normal in size, shape, and axis]. Using side-viewing endoscope, major papilla was cannulated and water-soluble contrast was injected and multiple fluoroscopic images were saved.
Bladder was catheterized with fr feeding tube using sterile technique. Oral transfer is normal. Normal post-op gastric band. Post-lumbar puncture instructions were given. Preliminary image over the abdomen shows [post-op changes from recent surgery].
Needle was genly removed. There is [minimal] post-void residual. Contrast empties promptly into duodenum. The colon is visualized in its entirety. No ureterocele is seen during filling phase.
Contrast transits from gastric remnant to efferent loop without delay. No evidence for Hirschsprung disease, meconium ileus, meconium plug-small left colon syndrome, ileal atresia, or colonic stricture. Under fluoro guidance, a G spinal needle was advanced along the right paramidline interlaminar space into the thecal space with a single pass.
Contrast is seen in the fallopian tubes bilaterally which are [normal in course and caliber]. Excess barium was drained out at the end of the exam and the rectal tube was removed. Voiding phase demonstrates normal urethra. Patient is status post [RYGB]. Normal gastric mucosa and folds. The bladder is [normal in size, shape, and contour].
There is free intraperitoneal spill of contrast bilaterally. Jejunojejunal anastamosis is unremarkable.
Lateral video fluoroscopy was performed in conjunction with Speech Therapy. There is [no dilatation, filling defect, or abnormal morphology] of the renal calyces or pelvis.
Post-evacuation image shows . The transit time from proximal jejunum to cecum is hr min which is within normal limits. Contrast is cleared from hypopharynx after swallowing without pooling of contrast within vallecula or pyriform sinuses.
ERCP was performed by [gastroenterologist]. Stomal diameter is mm without evidence for stomal stenosis. Opening pressure was measured to be cm of water. Limited UGI with water-soluble contrast shows prompt contrast transit through the band without pooling within gastric pouch of distal esopahgus.
Entire colon was filled. Risks and potential complications were explained and a informed was written consent.La vertrèbre la plus caudale (vers les pieds) sert de référentiel pour décrire le listhesis.
Ainsi un glissement en avant de L5 sur S1 est appelé aussi un antélisthésis L5-S1. normal dictation template bone plain films arthritis arthroplasty skeletal survey post op spine scanogram bone age sinus shunt tmj series scoliosis sacrum fracture.Download