Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> Comments on: Radiology Oddity #016 http://lifeinthefastlane.com/2009/11/radiology-oddity-016/ Emergency Medicine and Education Blog Tue, 07 Sep 2010 23:44:40 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1142 Tweets that mention Radiology Oddity #016 | Life in the Fast Lane -- Topsy.com Wed, 04 Nov 2009 16:48:23 +0000 http://lifeinthefastlane.com/?p=7492#comment-1142 [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...] [...] This post was mentioned on Twitter by sandnsurf, precordialthump. precordialthump said: In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk [...]

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1139 sandnsurf Wed, 04 Nov 2009 00:15:05 +0000 http://lifeinthefastlane.com/?p=7492#comment-1139 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12458 sandnsurf Wed, 04 Nov 2009 00:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12458 Vijay - so glad to see you rise to the challenge set by the 'absent' minded ED physician. No ducking, no cowering, no brickbats (this time) - the fairness of a joust can only be determined by reciprocity Hildy - Other labs surprising normal with normal LFT and bilirubin levels. Abdominal examination revealed generalised guarding only. Thanks for another comprehensive answer comment Vijay – so glad to see you rise to the challenge set by the ‘absent’ minded ED physician.
No ducking, no cowering, no brickbats (this time)
- the fairness of a joust can only be determined by reciprocity

Hildy – Other labs surprising normal with normal LFT and bilirubin levels.
Abdominal examination revealed generalised guarding only.
Thanks for another comprehensive answer comment

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1138 Hildy Tue, 03 Nov 2009 19:18:33 +0000 http://lifeinthefastlane.com/?p=7492#comment-1138 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Hildy http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12457 Hildy Tue, 03 Nov 2009 19:18:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12457 What you can see: A suprarenal aorta of normal diameter with some calcification --> not a AAA despite the name. An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn't really look big enough) This thing in the RUQ: - fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat) - thin ring of ? enhancing soft tissue density - eccentric 0.5-1cm rim of fluid density around the soft tissue density ring. I'm thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm). Is that thin ring of STD the gall bladder wall? It's hard to tell how thick it is. What's the lady's abdo exam like? Other labs? What you can see:

A suprarenal aorta of normal diameter with some calcification –> not a AAA despite the name.
An IVC which is being compressed by something (presumably the gallbladder) but which may be a reflection of inadequate intravascular volume (it doesn’t really look big enough)

This thing in the RUQ:
- fluid density ~3.5-4cm (less dense than the spinous muscles, more dense than fat)
- thin ring of ? enhancing soft tissue density
- eccentric 0.5-1cm rim of fluid density around the soft tissue density ring.

I’m thinking that this represents some pericholecystic free fluid. There seems to be a thin layer of free fluid between the liver and the diaphragm too (presuming the enhancing bit is liver and the nonenhancing STD is diaphragm).

Is that thin ring of STD the gall bladder wall? It’s hard to tell how thick it is.

What’s the lady’s abdo exam like? Other labs?

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-1137 Vijay Tue, 03 Nov 2009 17:15:01 +0000 http://lifeinthefastlane.com/?p=7492#comment-1137 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: Vijay http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-12456 Vijay Tue, 03 Nov 2009 17:15:00 +0000 http://lifeinthefastlane.com/?p=7492#comment-12456 Disclaimer: It's not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician. Still, I will answer because the gauntlet has been thrown (tweeted) in my face. Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis. (Ducking & cowering. Waiting for the brickbats.) Once more, this isn't fair, mate. Disclaimer: It’s not fair to ask a radiologist to comment on a single CT section, chosen by an absent-minded Emergency Physician.

Still, I will answer because the gauntlet has been thrown (tweeted) in my face.

Based on this single CT axial section (part of what is no doubt hundreds of such axial sections from a multislice CECT Abdomen) i opine that this old lady has Acalculous Cholecystitis.

(Ducking & cowering. Waiting for the brickbats.)

Once more, this isn’t fair, mate.

]]> By: sandnsurf http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-5383 sandnsurf Tue, 03 Nov 2009 08:21:27 +0000 http://lifeinthefastlane.com/?p=7492#comment-5383 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@scanman This one confused me at first... http://su.pr/19229J</span></span> @scanman This one confused me at first… http://su.pr/19229J

]]> By: precordialthump http://lifeinthefastlane.com/2009/11/radiology-oddity-016/#comment-10127 precordialthump Tue, 03 Nov 2009 08:15:43 +0000 http://lifeinthefastlane.com/?p=7492#comment-10127 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk</span></span> In the 'Fast Lane': Radiology Oddity #016 http://tinyurl.com/yfbftpk

]]>