Radiography of the Abdomen

Radiology of the Abdomen Radiography of Abdomen Standard projections Laterolateral Radiography of the Abdomen Attila ARANY-TóTH Radiography of Abd...
Author: Meghan Bell
36 downloads 0 Views 1MB Size
Radiology of the Abdomen

Radiography of Abdomen

Standard projections Laterolateral

Radiography of the Abdomen Attila ARANY-TóTH

Radiography of Abdomen

Standard projections Ventrodorsal

Radiography of Abdomen

Standard projections Dorsoventral

Attila Arany-Tóth

1

Radiology of the Abdomen

Radiography of Abdomen

Radiographic opacities • • • • •

Metal Bone Soft tissue/fluid Fat Gas

Boundaries of the Abdomen

Liver Kidney Spleen Urinary bladder Fluid filled stomach and intestine

Border effacement

Radiography of Abdomen

Radiography of Abdomen

Abdominal hernias

Abdominal hernia: a protrusion of abdominal contents into the subcutis through a natural or acquired opening of the abdominal wall.

Radiography of Abdomen

Radiography of Abdomen

Abnormalities in density

Abnormalities in density

Increased radiopacity (loss of abdominal detail):

- decrease in intraabdominal

Attila Arany-Tóth

fat (young (10 min.

16

Radiology of the Abdomen

Urinary Tract

Urinary Tract

Excretory urography - normal

Excretory urography - normal

(nephrographic phase)

(pyelographic phase)

Urinary Tract

Urinary Tract

Excretory urography - normal

Contrast examination of the urinary tract

(bladder phase) 2. Positive contrast (retrograde) cystography - morphological examination of the urinary bladder - bladder emptying prior to examination - 5 ml /kg diluted iodinated contrast (300 mg I/ml) (1 part contrast to 1-3 parts water) through catheter

Urinary Tract Contrast examination of the urinary tract 2. Positive contrast retrograde cystography

Attila Arany-Tóth

Urinary Tract Contrast examination of the urinary tract 2. Positive contrast retrograde cystography

17

Radiology of the Abdomen

Urinary Tract Contrast examination of the urinary tract

Urinary Tract Contrast examination of the urinary tract

3.Pneumocystography

3.Pneumocystography - bladder emptying prior to examination - 5-10 ml air (or CO2)/kg - indication: evaluation of the thickness of the bladder wall

Urinary Tract

Urinary Tract

Double-contrast cystography

Contrast examination of the urinary tract

4.Double-contrast cystography - catheterize and empty the bladder - infuse gas to distent the bladder (5-10 ml/kg) - inject small volume iodinated contrast media (1-2 ml/kg cat, 2-10ml/kg dog) - roll the animal 360° - indication: radiopaque cystoith, tumor

Urinary Tract Contrast examination of the urinary tract 5. Positive contrast retrograde urethrography - to demonstrate uretral stenosis - males: catheter 3-4 cm long into the uretra, manual compression - females: catheter with cuff - exposure: during continous injection

Attila Arany-Tóth

Urinary Tract - Abnormalities Kidneys - survey, excretory urography increased

SIZE

decreased

18

Radiology of the Abdomen

Urinary Tract - Abnormalities

Urinary Tract - Abnormalities

Kidneys

Kidneys

Hydronephrosis

Hydronephrosis

Urinary Tract - Abnormalities

Urinary Tract - Abnormalities

Kidneys

Ureter

Renal calculi

Dilatation of the ureter (hydroureter)

Urinary Tract - Abnormalities Ureter - excretory urography

Rupture of the ureter

- excretory urography

Urinary Tract - Abnormalities Ureter - excretory urography (+ negative contrast)

Ectopic ureter - young dog/cat - incontinency

Attila Arany-Tóth

19

Radiology of the Abdomen

Urinary Tract - Abnormalities Urinary bladder - positive contrast cistography - negative contrast cistography (+EU) - double contrast cistography - excretory urography

Urinary Tract - Abnormalities Urinary bladder Abnormal position

Dilatation of the bladder

Urinary Tract - Abnormalities Urinary bladder Thickened bladder wall

Urinary Tract - Abnormalities Urinary bladder Cystolithiasis

- cystitis

Urinary Tract - Abnormalities Urinary bladder Cystolithiasis

Attila Arany-Tóth

Urinary Tract - Abnormalities Urinary bladder Cystolithiasis

20

Radiology of the Abdomen

Urinary Tract - Abnormalities Urinary bladder Cystolithiasis - double contrast urography

Urinary Tract - Abnormalities Urinary bladder Neoplasia of the bladder - irregular filling defect / thickening

Urinary Tract - Abnormalities Urethra Urethral calculi - survey: radiopaque calculi

Attila Arany-Tóth

Urinary Tract - Abnormalities Urinary bladder Rupture of urinary bladder

Urinary Tract - Abnormalities Urethra Urethral calculi - survey: radiopaque calculi

Urinary Tract - Abnormalities Urethra Urethral calculi - filling defect

21

Radiology of the Abdomen

Urinary Tract - Abnormalities Urethra

Urinary Tract - Abnormalities Urethra

Narrowing of the urethral lumen

Male genital system

Rupture of the urethra

Prostate

Prostate

Prostatomegaly

Pr

UB

Female genital system

Uterus - nongravid: not seen - gravid: 45. day – fetal skeleton

Attila Arany-Tóth

Female genital system

Uterus - nongravid: not seen - gravid: 45. day – fetal skeleton

22

Radiology of the Abdomen

Female genital system

Pyometra tubular, soft tissue opacity in the hypogastrium

Attila Arany-Tóth

23

Suggest Documents