
1
Fifth stage
Radiology
عملي
كتابة
الطالب
28/11/2015
GIT system seminar
# Normal Esophageal indentations(slide #3):
Description: BA swallow/showing the constriction areas that are normally present in
esophagus (at the body of cervical vertebra C2-C3, arch of aorta , left atrium, diaphragmatic
hiatus
# Achalasia cardia(slides #5,6,7)
Description: Ba swallow/showing short & regular narrowing of the distal esophagus(Bird
beak appearance) with proximal sac-like dilatation[with reactionary peristalsis]
# Diffuse esophagela spasm(slide #8)
Description: Ba swallow/ showing multiple simultaneous tertiary contractions producing a
corkscrew appearance
induced stricture(slides #9 & 10 respectivly)
-
# Corrosive stricture & GERD
Description: Ba swallow & meal/showing long & regular & well defined narrowing of the
distal esophagus
:
# Esophageal Carcinoma(Malignant stricture)[slides #11 & 12]
Description: Ba swallow/showing sudden abrupt & irregular narrowing of a part of the
esophagus with presence of shouldering sign & pre-stricture dilatation
ide #13):
# Esophageal web(sl
Description: Ba swallow/ showing a shelf-like filling defect in the cervical(upper) part of the
esophagus that is projecting from the anterior wall & not occluding the lumen
type diverticulum](slide #14):
-
#Zenker diverticulum[pulsion
Description: Ba swallow/showing barium-filled outpouching from the posterior wall of the
just anterior to the spine
cervical(upper) part of the esophagus
# Epiphrenic diverticulum(slide #15 & 16):
l of the lower
filled outpouching from the wal
-
Ba swallow/showing barium
:
Description
esophagus just above the stomach

2
# Traction diverticulum(slide #17, the middle picture in the slide):
filled outpouching from the wall of the middle
-
Ba swallow/showing barium
:
Description
portion of the esophagus
des # 18 & 19):
#Sliding Hiatal Hernia(sli
Description: Barium Swallow & Meal/showing the gastro-esophageal junction with braium-
filled outpouching of part of the stomach both above the diaphragm
# Peptic ulcer1(slides #21):
Description: Barium meal/profile view/showing barium-filled outpouching from the lesser
curvature of the stomach(right & left upper pictures)
Description: Barium meal/showing barium-filled ulcer crater in the pyloric area of the
stomach(lower picture)
# Peptic ulcer 2(slide #22):
Description: Barium meal/showing barium-filled outpouching from the lesser curvature of
the stomach with constriction of the body of the stomach
# Peptic ulcer 3(slides #23 & 24)
Description: Barium meal/en face/showing barium-filled ulcer crater with radiating folds of
mucosa away from it
# Chronic duodenal ulcer(slide #25):
Barium meal/ showing the classic Trefoil deformity of the duodenal cap
:
Description
# Infiltrative carcinoma of the stomach(slide #26,28)
Description: Barium meal/showing large irregular filling defect arising form the greater
curvature of the stomach
# carcinoma of the stomach(slide #27,29)
: Barium meal/showing large irregular filling defect at the pyloric antrum
Description
# Duodenal diverticulum(slide #30)
ng from the duoenal wall
: Barium meal/showing barium filled outpouchi
Description
# Duodenal atresia:(slides #31 &32)
Description: Plain abdominal x-ray/in erect position/showing a double bubble sign ( gas
filled distended stomach and duodenum) with an absence of distal gas

3
#Jejunoileal atresia(slide #33)
ray/in erect position/showing a Triple bubble sign ( gas filled
-
Plain abdominal x
:
ption
Descri
distended stomach and jejunum)
# Congenital Diaphragmatic hernia[mostly Bockdalik type](slides #34 ,35,36)
Description: Plain x-ray of the chest & abdomen/showing multiple air-filled loops of bowel
& shifting of the
in the left hemithorax with indistinct left dome of the diaphragm
mediastinum to the right
# Congenital Diaphragmatic hernia(slide #37):
Description: Baruim follow through(not sure)/showing barium filled loops of bowel in the
in the left hemithorax with indistinct left dome of the diaphragm & shifting of the
mediastinum to the right
# Pneumoperitonium(slides # 38 & 39)
Description: Chest x-ray in ERECT position/showing a cresent-shaped translucency(free air)
under the right dome of the diaphragm
# Pneumoperitonium(slides #40 & 41)
ray in ERECT position/showing a very large translucensies (free gas)
-
Chest x
:
Description
under the both domes of diaphragm
# Subphrenic abscess(slides #42 &43)
fluid level under the
-
ray in ERECT position/showing a cavity with air
-
x
Chest
:
Description
right dome of the diaphragm
# Normal Barium follow through(slides# 44, 45, 46)
# Malabsorption(slide #47):
Description: Barium follow through/showing loss of normal feathery apperance of the small
bowel with dialated loops & splaying between them , also there is flocculation &
segmentation of barium (Mosaic appearance)
# Lymphoma of the bowel(slides #48, 49):
Description: Barium follow through/ showing irregular small bowel outline with splaying &
separation of the bowel loops

4
# Crohn's disease(slide #50):
Description: Double-contrast barium follow through(not sure) study demonstrates marked
ulceration, inflammatory changes, and narrowing
# Ulcerative colitis[acute phase](slide #51):
Description: Double contrast barium enema/showing a granular appearance to the surface
of the large bowel bowel
# Ulcerative colitis[chronic phase](slide #52):
Description: Double contrast barium enema/showing featureless bowel loops with loss of
normal haustral markings, luminal narrowing and bowel shortening (lead pipe sign)
# Normal gas shadow in KUB(slides #53, 54)
>59):
---
# Toxic megacolon(slides #55
Description: Plain x-ray of the abdomen/showing dilated large bowel loops of greater than
6 cm with additional loss of haustral markings
>63):
---
# Small bowel obstruction(slides #60
Description: Plain x-ray of the abdomen in erect position/showing multiple, dilated small
bowel loops that are centrally located & traversing the midline with multiple air-fluid
levels, (Step-ladder appearance)valvulae conniventes are visible
-
in slides 61 & 63, the films on the left are in SUPINE position not ERECT & thus NO air
N.B.:
fluid level is present, the remainig description is the same as above
ion(slides # 64 & 65):
# Large Bowel obstruct
Description: Plain x-ray of the abdomen /showing multiple, dilated large bowel loops of
more than 6 cm that are peripherally located
fluid levels in the film
-
.: in slide # 64 , there are some air
N.B
6 &67)
# Normal barium enema(slides # 6
# Carcinoma of the colon(slide #68):
Description: Barium enema/showing irregular filling defect in the sigmoid colon

5
# Carcinoma of the colon[annular type](slide #69)
Description: Barium enema/showing short ,irregular circumferential stricture of the large
bowel that has abrupt “shouldered” margins(Apple-core sign)
# Intussusception(slide #70):
Description: Plain x-ray of the abdomen & the pelvice in supine position/showing an
elongated soft tissue massin the right upper quadrant with a bowel obstruction proximal to
it
# Intussusception(slide #72 &73):
Description: Barium enema/showing barium in the lumen of the intussusceptum and in the
intraluminal space(Coiled spring sign)
# Intussusception(slide #74):
Description: the Ultrasound is showing Target or doughnut sign, with hypoechoic rim
(edematous bowel wall) surrounding hyperechoic central area (intussusceptum)
# Colonic Diverticulosis(slide #75)
: Barium enema / showin numerous barium filled mucosal outpouchings from
Description
colonic wall
lial adenomatous polyposis(slides #76 & 77)
#Fami
Description:Barium enema/showing numerous filling defect within the bowel lumen
>80):
---
# Hirschsprung Disease(Slides #78
Description: Barium enema showing reduced caliber of the rectum, followed by a
transition zone to an enlarged-caliber sigmoid.
# Imperforated anus(slides #81,82)
Description: lateral invertogram/showing a coin or metal piece that is placed over the
expected anus as a marker & presence of a distance between the rectal gas & the marker