radiology teaching photo abdomen
DESCRIPTION
Radiology Teaching Photo AbdomenTRANSCRIPT
![Page 1: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/1.jpg)
TEACHING PHOTO RADIOLOGY
Created by Gung They Semara’02Courtesy of dr. Widhi, Accompanied by dr. Oka
ABDOMEN EDITION
![Page 2: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/2.jpg)
SIJ Sacroiliac JointHJ Hip JointAFL Air Fluid Level (batas antara udara dan cairan)VU Vesica UrinariaOsteofit Penonjolan tulang (dsb lipping pd artikulasi, atau bony
spur jika bukan pd artikulasi; lipping yg menyatu dsbbridging)
Staghorn Batu radioopak pada pelvis renalis, calyx mayor dan minorPhlebolith Kalsifikasi vena (bagian tengah radiolusen)
Barium enema = colon in loop (hanya sampai iliocecal junction)Barium intake = barium meal (jika diikutià barium follow through)DD/ Th 12 dg L1 Pd Th 12 tdp costae yg arahnya ke bawah, pd L1
tdp prosesus transversus yg arahnya mendatarIngat deskripsikan jalannya kontras pada contras study!
Gung They Semara 02
![Page 3: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/3.jpg)
ABDOMEN PHOTO
![Page 4: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/4.jpg)
Bacaan BOF NormalBOF (Buich Oversicht Foto)
Tidak tampak bayangan batu radioopak pada KUB(Kidney-Ureter-Bladder)Kontur ginjal kanan-kiri jelasPsoas line kanan-kiri simetrisDistribusi gas dalam usus normalTulang-tulang tidak tampak kelainan
KESAN Batu radioopak (-)Gung They Semara 02
![Page 5: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/5.jpg)
Low Back Pain
ETIOLOGIPedikel (-) ok susp metastaseSpina bifida (prosesus spinosus tidak menyatu)Sakralisasi tidak sempurna (joint space (+))Sakralisasi: prosesus transversus L5 menempel pdsakrum (jika satu sisi disebut hemisakralisasi)Sakroilitis
Gung They Semara 02
![Page 6: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/6.jpg)
RTB12BOF• Tampak bayangan batu
radioopak multipelberbentuk lamelar di VU
• Tampak bayangan baturadioopak setinggi L1-L3 S
• Skoliosis ke kiri• Spur formation semua
lumbal
KESANBatu lamelar multipel VUBatu ureter S 1/3 proksimalSkoliosis ke kiriSpondilosis lumbalis
![Page 7: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/7.jpg)
RPC1BOF• Tampak batu di cv pelvis
ukuran 4x3 cm• Plebolith di cv pelvis• Skoliosis lumbal ke D• Spur formation L1-S
KESANBatu VUSkoliosis lumbalis ke DSpondilosis lumbalis
![Page 8: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/8.jpg)
RUB3BOF• Tampak batu radioopak
berbentuk lamelar pd cvpelvis ukuran…cm
• Tampak bentukan kantongdi samping VU denganbayangan radioopak didalamnya
• Sakralisasi incompletebilateral
• Psoas line D/S simetris
KESANBatu lamelar VUDivertikel dengan batudidalamnyaSakralisasi incomplete bilateral
![Page 9: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/9.jpg)
RPC 5BOF• Tampak bayangan batu
radioopak multipeldi cvpelvis uk 8x5cm &6,5x4cm
• Tampak bayangan baturadioopak setinggi para L5D uk 7x1cm
• Kontur ginjal D/S kabur• Psoas line D/S simetris
KESANBatu multipel VUSusp batu ureter kanan 1/3
prox
![Page 10: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/10.jpg)
RPA1BOF• Tampak bayangan
radioopak melintang diperut S atas mengikutibentukan/letak anatomipankreas (kalsifikasipankreas)
• Tampak bayanganradioopak multipel setinggipara L1-2 D
KESANKalsifikasi pankreasBatu ginjal D
![Page 11: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/11.jpg)
GAR8BOF• Tampak bayangan
radioopak melintangdi perut S atasmengikutibentukan/letakanatomi pankreas(kalsifikasi pankreas)
• Sakralisasi bilateral
KESANKalsifikasi pankreas
![Page 12: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/12.jpg)
R3BOF
KESANSakralisasi L5
![Page 13: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/13.jpg)
CDR24LUMBOSACRALAP• Dislokasi cornu
vertebrae L3• Alignment
skoliosis ke kiri
KESANSpondilolistesis L3
![Page 14: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/14.jpg)
GB7BOF• Usus masuk ke
dalam skrotum• Costa
berbentukkipas akibathemivertebrae
KESANHernia skrotalisHemivertebrae
![Page 15: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/15.jpg)
GD4BOF• Tampak proses
osteoblastik (tulangmemutih) pd pelvis kiri,lumbal, SIJ, caput femur
KESANMetastase osteoblastik tlg
![Page 16: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/16.jpg)
RPB2BOF• Massa di kiri atas
(mungkin ginjal kiri) massa mungkin dari ileumdengan metastase
• Garis shanton kiri tidakbertemu
• Destruksi tulang ischii kiridan ileum
KESANTumor abdomen, metastasepada tulang ischii (pelvis kiri)
![Page 17: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/17.jpg)
RP2BNO POST MIKSI• Usus terdesak ke
bawah• Collecting D
membesar dan tidakteratur
• Ginjal D membesar(mungkin adamassa)
KESANTumor ginjal kanan(Willm’s tumor)
![Page 18: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/18.jpg)
Tanda-tanda Perforasi
Foot ball sign. Gambaran abdomen yg mjd hitam dgorgan-organ abdomen berkumpul di tengah dandikelilingi udaraAir Sickle. Udara bebas di bawah diafragmaDouble wall sign pada posisi lateral decubitus
Gung They Semara 02
![Page 19: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/19.jpg)
RSG4BOF• Tampak distensi ileum,
sebagian jejunum• Tampak g’an bay
radiolusen di cvabdomen di antaralumen usus dg footballsign(+)
KESANObstruksi ileus denganperforasi
![Page 20: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/20.jpg)
GCR11BOF ERECT POSISI• Air sickle (+) sub
diafragma D/S• Herring bone (+)• Inverted U shaped
sign (+)
KESANObstruksi ileum denganperforasi
Ushapeinvertes
![Page 21: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/21.jpg)
GG2RBOF• Distensi ileum• Banyak udara
bebas
KESANObstruksi ileum +perforasi
![Page 22: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/22.jpg)
ERBOF ½ DUDUK• Distensi dari usus2 dg gamb
air fluid level (+)• Step ladder pattern (+)
KESANIleus obstruksi
Jika air fluid level/air sickle (+) penderitadiperiksa dalam posisi berdiri.
![Page 23: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/23.jpg)
RTA 39BOF• Air sickle (-)• Gaster, duodenum,
jejunum, ileum distensi(+), dinding menebal
• U shaped sign (+)• Herring bone app (-)• Tulang N• Tampak diafragma
meninggi• Distribusi gas usus• Step ladder pattern (-)
KESANObstruksi ileus
![Page 24: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/24.jpg)
GE 21BOF• Tampak distensi dari
jejenum dan ileum (usushalus)
• Hearing bone app (+)• Bayangan radioopak di os
ileum kanan dengan ukuran… cm
KESANGallstone ileus
![Page 25: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/25.jpg)
GER2BOF• Obstruksi ileum dan
sebagian jejenum(usus) akibat batu diproksimal ileum
• Hearing bone (+)• Circuler star case (+)• Spur formation
KESANIleus obstruksiGallstone ileus?
![Page 26: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/26.jpg)
Contras Study
![Page 27: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/27.jpg)
LTA9ESOFAGOGRAFIE• Penyempitan esofagus
distal• Pelebaran esofagus
proksimal
KESANAkalasia
![Page 28: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/28.jpg)
BARIUM INTAKE• Lambung terdesak ke lateral
(krn terdesak massa di luarlambung)
• Massa mungkin di heparlobus S atau di pankreas
KESANMassa ekstralumen yangmenyebabkan lambungterdesak ke kiri
![Page 29: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/29.jpg)
BARIUM INTAKETampak kantongankecil terisi kontrasdengan tepi licin
KESANDivertikel gaster
![Page 30: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/30.jpg)
Upper GIT StudyBARIUM FOLLOW THROUGH• Tampak kontras dimasukkan
melalui mulut mengisigaster, duodenum, jejunum,ileum
• Tampak kantongan berisikontras dg tepi licin & leher(+) di bag duodenum parsdescenden
KESANDivertikel duodenum
![Page 31: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/31.jpg)
BA FOLLOWTHROUGH
Divertikel antrumpilorikum
![Page 32: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/32.jpg)
RCLOVOGRAFI• Tampak kontras
dimasukkan dari lubangkolostomi ke colondescendenrectosigmoid rektumnamun tdk mencapaianus
• Lumen colon menyempit
KESANMicrocolon / atresia ani
LovografiKontras masuk melaluicolostomie
![Page 33: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/33.jpg)
LOVOGRAFI• Jalannya kontras…• Rektum kecil, lumen
menyempit, terisi kontras• Distensi gaster + ileum
KESANMicrocolonFistula VU-rectum
Kontras masuk melaluicolostomie
![Page 34: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/34.jpg)
RB1COLON IN LOOPBA ENEMA• Barium masuk ke anus melalui
kateter melewati rectum colon sigmoid colondescenden flexura lienaliscolon transversum flexurahepatica colon ascenden
• Coil spring sign (+) (caecummasuk colon)
• Cupping sign (+) (perbatasanantara udara dg kiontras)
KESANInvaginasi colon ascenden(tipe iliocecal)
![Page 35: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/35.jpg)
RB1 PECOLON IN LOOPPOST EVAKUASI~ RB 1• Tebal dinding usus terlihat
ada udara bebas• Coil spring sign (+)• Cupping sign (+)
KESANInvaginasi colon ascenden
![Page 36: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/36.jpg)
RTF1BA ENEMA• Kontras tidak masuk
caecum• Cupping sign (+)• Coil spring sign (+)
KESANInvaginasi colon ascenden
![Page 37: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/37.jpg)
Irma santiniBA ENEMA• Jalannya barium…• Pelebaran dan filling
defect pada colontransversum
• Cupping sign (+)• Coil spring sign (+)
KESANInvaginasi colontransversum
![Page 38: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/38.jpg)
RSF1 (Hendra wijaya, 5 bl)BA ENEMA
Jalannya barium….• Cupping sign (+)• Coil spring sign (+)
KESANInvaginasi colon transversum
![Page 39: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/39.jpg)
RSV IV PECOLON IN LOOP POSTEVAKUASI• Ileum distensi obstruksi ileum• Cupping sign (+)• Coil spring sign (+)
KESANInvaginasi colon transversum
![Page 40: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/40.jpg)
RTD4BA ENEMA• Coil spring sign (+)
KESANInvaginasi colon transversum
![Page 41: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/41.jpg)
COLON IN LOOP• Jalannya kontras…• Tidak ada tanda
obstruksi
KESANInvaginasi colontransversum bag tengah
![Page 42: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/42.jpg)
16 Juni 83BA ENEMA• Jalannya barium• Distensi colon (-)
KESANInvaginasi colontransversum distal
![Page 43: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/43.jpg)
RA2 (Sriati)BA ENEMA
Jalannya barium…• Coil spring sign (+)• Cupping sign (+)
KESANInvaginasi colontransversum
![Page 44: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/44.jpg)
Komang prananda (4 bulan)BA ENEMA• Tampak kontras dimasukkan
melalui rektum, mengisirektum & sigmoid parsiil
• Coiled spring (+)• Supping sign (+)
KESANObstruksi rektum okinvaginasi (invaginasi parsiilrectosigmoid)
![Page 45: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/45.jpg)
RFE5BA ENEMA• Jalannya kontras…• Distensi colon, gaster,
ileum• Distensi di proksimal
kolon yg mengecilada obstruksi
KESANMikrokolonObstruksi ileum
![Page 46: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/46.jpg)
COLON IN LOOP(BA ENEMA)• Tampak kontras mll
cateter masuk keanus, mengisirectum-sigmoid-colon deceden-colontranversus-colonacsenden
• Tampak bolusascaris di kolondescenden
KESANBolus ascaris dikolon descenden
![Page 47: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/47.jpg)
RSD1BA ENEMA• Colon distal? sempit• Kontras mengisi
colon
KESANMegacolon
![Page 48: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/48.jpg)
Cap 003BARIUM ENEMA• Tampak tonjolan
berisi kontras• Kantongan licin,
batas tegas,bertangkai
KESANDivertikel colonrectosigmoid
![Page 49: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/49.jpg)
BA ENEMA• Kontras mengisi
sampai denganrektosigmoid danrektum
• Terdapat fillingdefect pada rectumdg batas tegas
KESANTumor rektumintraluminer benign
![Page 50: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/50.jpg)
BARIUM ENEMA• Tampak kontras
mengisi rektum• Rektum intralumen
menyempit karenaterdesak massaekstralumen
KESANMassa ekstralumenmendesak rektum
Bila intralumen, yang tampakadalah filling defect
![Page 51: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/51.jpg)
RTE1BA ENEMA• Colon descenden
melingkar tidak terisikontras
• Lumen menyempitakibat terdesak
KESANMassa di luar colon(ekstralumen) danmendesak colon
![Page 52: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/52.jpg)
BARIUM ENEMA• Filling defect pada
rectum distal
KESANTumor rektumsirkuler intralumenD et S
![Page 53: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/53.jpg)
Intravenous Pyelography (IVP)Syarat: fs ginjal baik, puasa (untuk rehidrasi)Foto polos abdomen hrs dilakukan sblm IVP untukmembedakan adanya bay batu radioopak pd KUBKontraindikasi: alergi kontras, CKD (SC > 4)Dibuat pd menit ke-5, 15, 30, 60Non-visualized ginjal, dibuat spi menit ke-120Menit ke-5 untuk menilai fs ekskresi ginjalMenit ke-60 untuk menilai distribusi kontras ke VUPost miksi (PM) untuk menilai residu urine
Gung They Semara 02
![Page 54: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/54.jpg)
R30IVP menit ke 30• Tampak kontras mengisi
calix, pelvis renalis,sebagian ureter dan VU
• Terlihat calix S letak rendahsetinggi L4-5
• Tampak bayanganradiolusen mendesak VU(umbrella sign)
• Psoas line simetris• Tulang normal• Distribusi gas usus normal
KESANEctopic kidneyBPH
![Page 55: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/55.jpg)
RPA2 60IVP MENIT KE-60• Bayangan radioopak
massa tumor ygmendesak di bag bawahginjal D
• Ginjal D bergeser keatas, kiri normal
• Psoasline D kabur• Filling defect tidak
teratur di VU (adamassa)
KESANTumor abdomen dibawah ginjal DTumor VU suspmalignancy
![Page 56: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/56.jpg)
RPA2 120IVP Menit ke-120• Tampak batu staghorn
setinggi para L1-L4 D/S• Tampak bayangan batu
radioopak multipel di cvpelvis
• Hingga menit 120 tidakada kontras yang masukke VU
KESANBatu staghorn ginjal D/SBatu multipel VU
![Page 57: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/57.jpg)
RPA1 45IVP Menit ke-45• Tampak calyc
tumpul/clubbing, cortexmenipis, tepibergelombang pd ginjalS
• Batu ureter S 1/3 distal• Psoasline S kabur, D
sulit dievaluasi• Tlg2: sacralisasi D et S
KESANPyelonefritis SBatu ureter S 1/3 distal
![Page 58: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/58.jpg)
R12 15IVP menit ke 15• Calyx membesar
dalam batasnormal
• Pyelum Dmembesar
KESANKalsifikasisuprarenal D
![Page 59: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/59.jpg)
RPD3IVP menit ke 5• Calyx D tumpul• Infundibulum
D/pyelum spastik
KESANInfundibulumPyelonefritis D
![Page 60: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/60.jpg)
R30IVP menit ke 30• Pyelum & calyx terdesak
tp tdk rusak• Psoasline kabur• Kortek S menebal• Collecting system S
deformitas• Batu lamelar pd VU
KESANTumor ginjal S
![Page 61: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/61.jpg)
TER9 45IVP menit ke 45• Calyx ginjal D melebar
(ada bendungan)• Batu lamelar di VU• Korteks menebal
KESANHidronefrosisBatu lamelar VU
![Page 62: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/62.jpg)
RTC2 45IVP menit ke 45• VU terdesak ke atas• Destruksi os pubis S• Bayangan radiolusen di
cv pelvis?
KESANTumor di cv pelvis(metastase?)à mendesak VU &menghancurkan pubis S
![Page 63: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/63.jpg)
RPA1 30IVP menit ke 30• Atrofi ginjal D (korteks
mengecil)• Double ureter S• Spondilosis pada L5 & S1• Skoliosis ke D
KESANBatu pada ureter DAtrofi ginjal DDouble ureter S
![Page 64: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/64.jpg)
GE4R 60IVP menit ke 60• Hingga menit 60 ekskresi
(-) pd ginjal D• Ginjal D hilang• VU D lusen (filling defect
VU D)
KESANTumor VU menekan ureter D
obstruksi total (infiltrasike ureter distal)menyebabkanhidronefrosis D
![Page 65: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/65.jpg)
RB1IVP POST MIKSI• Tampak bayangan batu radioopak
multipel pada cavum pelvis denganukuran…cm dan setinggi para L2-L3D ukuran…cm
• Kontur ginjal S normal, D ttp gas usus• Psoasline D mengabur, S normal• Tmpk osteophyte pada L2-L4• Skoliosis minimal ke S
KESANBatu multipel ureter D 1/3 proksimalBatu multipel VUSpondilosis lumbalisSkoliosis lumbalis ke S
![Page 66: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/66.jpg)
RPA• Ada sedikit
ekstravasasi kontras• Dilatasi uretra dekat
pembuntuan• Kontras terhalang
pada pars prostatika
KESANStriktur uretra parsprostatika
![Page 67: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/67.jpg)
Thank’s to Resident
dr. Widhi dr. Oka
![Page 68: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/68.jpg)
Thank’s to My Radiology TeamRadiology Team May 26th – June 21th 2008General: A.A. Gde Putra Semara Jaya1. Albert (Sondo)2. Afzal3. Felicia H4. Dayanath5. Siswadi S6. Nisa A7. Ari Wulandari
8. Wahyudi E9. Arya Wangsa10.Ira M11.Astri12.Dina13.Trisnasanti (Koming)14.Winie W
Gung They Semara 02
![Page 69: Radiology Teaching Photo Abdomen](https://reader037.vdocument.in/reader037/viewer/2022110104/55cf9abe550346d033a33167/html5/thumbnails/69.jpg)
Wahyudi, Nisa, Felicia, Arya Wangsa, Siswadi, Dayanath, Albert (Sondo), Semara Jaya, AfzalAri Wulandari, Astri, Trisnasanti (Koming), Winie, Dina, Ira