EMERGENCY CASES RADIOLOGY

Skull / Brain /
Cervical
Trauma Kepala
Facial Fracture
Fraktur Skull
Fracture
Gunshot
ICH-IVH
 ICH-
Cerebellar
Haemorhage
SDH
SAH
Brain Herniation
Stroke
Meningitis+Subdural Empyema
Abcess
CERVICAL SPINE INJURIES
THORAX
 LUNG CANCER

A CXR in a patient with central

cancer of the right lung. white
mass in the middle portion of the
right lung
VCSS
Lymphoma
ANEURISMA
AORTA

Foto thorax :
pelebaran mediastinum dan pelebaran Aorta Asc.
(Lokasi tersering: Aorta descendens dan Arcus Aorta)
 Catheter Total Parenteral Nutrition

Swan Ganz Catheter-induced Pulmonary Artery pseudoaneurysm.

Red arrow -collection of contrast which yellow arrow shows
to be in the same location as the tip of the Swan ganz catheter
(blue arrow) inserted 3 days earlier too peripherally in a branch of
the right descending pulmonary artery.
 CT scan Thorax :
SVC compressed between the lung tumor and the mass of
lymph nodes toward the middle of the chest
 CT Scan Thorax :
infiltrasi karsinoma paru pada VCS
 CT Thorax :
multiple limphadenopaty sebagian mendesak VCS
 CT Thorax :
Massa Tymoma mendesak VCS
 Metastatic

CT scan Thorax:
massive mediastinal adenopathy with pleural effusion, and extensive
retroperitoneal adenopathy encasing the aorta and superior vena cava
 aneurisma aorta

Multi-slice chest CT :
an enlarged ascending aorta (8 cm ant-post diameter)
close contact to the retrosternal region
 CT Scan Thorax :
Dilatasi V.Subclavia kiri dan vena-vena collateral akibat
obstruksi pada VCS (potongan coronal dan axial)
 CT Scan Thorax :
Vena-vena Collateral
 MRI Thorax :
massa tymoma telah infiltrasi ke VCS
 Venogram VCS :
menunjukkan penyempitan VCS
 Venogram VCS :
menunjukkan penyempitan subtotal VCS with collateral
drainage through the left superior intercostal vein
A, Venogram shows type II SVC obstruction (arrow) due to
mediastinal fibrosis in a 38-year-old man.
B, Venogram 14 months after Palmaz stent palcement shows high-
grade stenosis of the left innominate vein proximal to the stent. And
treated with balloon angioplasty.
 THORAX

Traumatic
Aortic
Rupture
Pneumothorax
Tension pneumo thorax
Diaphragmatic rupture/hernia
Trauma Penetrasi-Jantung
Pulmonal Emboli
Chest Wall Hernia
 Flail
Chest
Corpus
Alienum
Inhalan
Hematothorax
Perforasi/
Ruptur
Esofagus
Pneumonia
Rib/Sternal Fracture
Pneumomediastinum
Mediastinal Abses
Pneumonia dg Distres Nafas
 Chronic
obstructive
pulmonary
disease
ABDOMEN
Aneurisma Aorta Abdominalis
BILIARY OBSTRUCTION
Appendicitis
Intususepsi
Iskemik Colitis
Large Bowel
Obstruction
Small Bowel
Obstruction
Perforation
 Rectal
Perforation
Urolithiasis
Sigmoid
Volvulus
 Toxic
megacolon
(fulminant
colitis)
Trauma Tumpul Abdomen
Trauma Penetrasi
Abdomen
EKSTREMITAS ATAS
 Acromio-
clavicular
joint injury
Carpal Dislocation
Fraktur Clavicula
Fraktur Galeazzi
Humerus fracture Articular
surface fractures
Humerus fracture Shaft fracture
 Humerus
fracture
Supracondylar
fracture
Monteggia fracture dislocation
Scapular fracture
Shoulder Dislocation
Scaphoid fracture
Thumb metacarpal fractures
LOWER LIMB
Ankle fractures
Calcaneal fractures
Dislocation of hip Traumatic
Femoral neck fracture
Femoral shaft fracture
Fifth metatarsal base fractures
Irritable hip
Lisfranc injury
Patella fracture
Pelvis fracture
Perthes disease
Slipped upper femoral epiphysis
Tibial plateau fracture
Tibial shaft fractures
UROGENITAL
 ORCHITIS

27

Orkitis: swelling,hipoekoik, dgn

vaskularisasi

153
Torsio testis kiri

Testicular appendages
torsion
154
 VARICOCELE

pelebaran pleksus
Gbr.31. USG skrotum pada pasien dgn riwayat infertilitas: tampak
pampiniformis saat keadaan istirahat di skrotum kiri (a) dibandingkan (b). pada
manuver Valsava. USG Doppler dari skrotum juga menunjukkan aliran dua arah
dalam pembuluh darah pampiniformis.

155
 KET
Kehamilan ektopik di daerah
serviks
GS yang berisi embrio tampak
berada di daerah serviks
Heart beat (+)
Gambaran USG dari kehamilan ektopik
dgn kantong gestasi berada di tuba
Fallopii kiri
MOLA
Anterior plesenta previa
dimana plasenta mencapai
ostium uteri internum

Anterior plesenta previa

dimana plasenta menutup
ostium uteri internum
 Abrupsi / Solusio Plasenta

Pelepasan prematur
sebagian atau seluruh
plasenta dari ddg uterus
sebelum kelahiran janin
Ultrasound tidak
mendeteksi pemisahan
plasenta dari dinding,
tetapi mengidentifikasi
adanya hematoma
retroplasental
 Daerah hematoma (HE) yg hipoechoic
terangkatnya tepi plasenta dan membran
CONGENITAL IN INFANT
Atresia Esofagus
Atresia Esofagus

Red arrow points to end of

orogastric tube which is
blocked from entering the
distal esophagus
by the patient's
esophageal atresia. Note
the lack of gas in the
abdomen
indicating a fistulous tract
does not connect the
trachea to the distal
esophagus
Tracheoesophageal fistula
Atresia Duodenum
Double Bubble Sign.
Supine radiograph of the
abdomen demonstrates a
dilated stomach (S) and an
accompanying dilated
proximal duodenum (D).
There is no gas in the
bowel distal to the dilated
duodenum. This is called
the "double bubble" sign
and usually indicates the
presence of duodenal
atresia.
Atresia Bilier
Atresia Ileum

Neonate with ileal

atresia and advanced
microcolon
Jejunal-ileal atresia is a segmental atresia of the jejunum or the ileum. It
is associated with malrotation and volvulus (25%) and cystic fibrosis
(10%). Patients present within the first days of life with vomiting or a
distended abdomen.
SEKIAN