KUB scout

GI Tract Pathology
Images
RTE 2782
Spring 2006
Michael
Michael Fugate,
Fugate, M.Ed.,R.T.(R),
M.Ed.,R.T.(R), Professor
Professor
Radiography
Radiography Program
Program
Santa
Santa Fe
Fe Community
Community College
College
Gainesville, 1 2
Gainesville, FL.
FL.

KUB scout showing poor bowel prep for a

barium enema exam. Asthenic Body Build

3 4

1
 Volvulus Ileus

5 6

Ileus caused by intussception

Air-
Air-fluid levels on upright
Air-fluid
7 8
abdomen

2
 Ileus Ileus

9 10

Obstructed Stomach

Ileus caused by a volvulus

11 12

3
 Appendocolith

Megacolon
13 14

kidney stones
gallstones

15 16

4
 FB (dice)

17 18

Diaphragmatic Hernia

Air
Air in
in fundus
fundus of
of stomach
stomach in
in chest
chest cavity
cavity behind
behind
heart
heart
Identify this pathology.
19 20

5
 Very Extensive Hiatal Hernia

¾ This is a large diaphragmatic hiatal hernia.

¾ The fundus of the stomach as “ herniated”
herniated”
up through the diaphragm into the chest
cavity.
¾ Sometimes this is called an
“incarcerated stomach”
stomach”.

21 22

Epiglottis Esophageal Atresia

‘String’
‘String’ sign
sign
23 24

6
Identify this pathology.

Left
Left hemi
hemi
diaphragm
diaphragm

Fundus
CA
CA of
of distal
distal esophagus
esophagus

25 26

Achalasia Achalasia

‘String’
‘String’ sign
sign

‘String’
‘String’ sign
sign 27 28

7
 Esophageal Atresia

Diverticulum of esophagus
29 30

Zencker’s Diverticulum

Shatzki’
Shatzki’s Ring
Shatzki’s
31 32

8
Shatzki’s Ring Hiatal Hernia

33 34

Hiatal Hernia Hiatal Hernia

35 36

9
PUD PUD

37 38

Gastric Cancer ( body of

stomach )

Irregular,
Irregular, ““ ratty”
ratty”
appearance
appearance of of mucosa
mucosa

Gastric carcinoma
39 40

10
 Pyloric Stenosis Pyloric Stenosis

““ String
String ““ sign
sign

41 42

Pyloric Stenosis Bezoar

Demonstrated
Demonstrated as
as aa filling
filling defect
defect
43 44

11
 Gastric Bypass
G-Tube
Gastrografin
Gastrografin used
used as
as contrast
contrast

45 46

SCUGI SCUGI

Gallstones
Gallstones
A

B D

47 48

12
A = lesser curvature
B = pylorus
C = duodenum Residual
Residual barium
barium in
in
hiatal
hiatal hernia
hernia
D = greater curvature

49 50

Identify position of patient.

¾ Supine, because barium migrates to the
most posterior portion(s) of the
stomach, while the gas rises to the most
anterior portions of the stomach.
¾ Be sure to review the anatomy of the
stomach and what portions are anterior,
posterior, etc.

51 52

13
 DCUGI

Diverticulum
Diverticulum of
of
stomach
stomach

53 What position is the patient? 54

B
Patient is in the LPO position.

Barium fills the fundus area, while the CO2 migrates to D

the distal portion of stomach. ( body and pylorus )

C
E

55 56

14
 “Spot” of TI
A = Fundus
B = Pylorus
C = Duodenum
D = Jejunum
E = Ileum Compression paddle

57 58

Enteroclysis Colonoscopy

59 60

15
 A is the cecum
B is the sigmoid colon
A C is extensive colitis and diverticulitis

C
B
61 62

A is the hepatic or right colic flexure

A C B is the sigmoid colon
C is the transverse colon
D is the descending colon

D
B
DCBE
63 64

16
What position is the patient?

tumor

Identify position of the patient?

DCBE 65 66

DCBE

Colitis
Colitis

Which decubitus is this? The ““upshot”

upshot”
upshot” for the sigmoid colon
67 68

17
 DCBE

polyp

Notice
Notice how
how well
well the
the DCBE
DCBE
Polyp
technique
technique shows
shows the
the mucosa
mucosa
69 70

Diverticulosis
List some differences between polyps and
diverticulae?

How has the increased use of endoscopy affected

the accuracy GI tract pathology?

How has the increased use of endoscopy affected

the number of barium studies in the radiology
polyps department?

71 72

18
 Duodenal Diverticulum

Identify pathology
73 74

Diverticulosis of Vermiform
Appendix

Identify pathology.
75 76

19
 Crohn’s Disease
( Regional Enteritis)

Crohn’
Crohn’s Disease
Crohn’s
77 78

SBFT

What’
What’s this?
What’s this?

Identify pathology
Crohn’
Crohn’s Disease
Crohn’s 79 80

20
 Apple core tumor of cecal
area

Colon cancer
81 82

Apple core of cecum area ‘Tics’ on a lateral rectum projection

83 84

21
‘String’ sign on colon cancer

Apple Core or ““napkin

napkin ring”
ring” defect
What pathology is most likely?
85 86

Colon Cancer
‘Apple Core’

““Apple
Apple Core”
Core” lesion
87 88

22
 Colitis

Colon Cancer
89 90

““Hosepipe
Hosepipe or
stovepipe”
stovepipe” appearance
of colitis

pathology

Where’
Where ’s the
Where’s the
haustra?
haustra?

Lateral Projection of Rectum

91 92

23
 Intussception Hirschsprung’s ( Megacolon )

93 94

Hirschsprung’s Disease Pharyngeal Pouch

95 96

24