X-ray report writing—digestive system

digestive system

1.

1 Normal esophageal contrast

2 Normal total gastrointestinal contrast

2.

1 Esophageal varices

2 Esophageal diverticulum

3 Chest X-ray of achalasia:

4 Esophageal hiatal hernia

5 Esophageal vestibular dysfunction

6 Esophageal-gastric anastomosis moderate to mild stenosis

7 Chest X-ray for esophageal cancer

8 Cardia cancer with gastritis

3.

1 Chest X-ray of chronic gastritis

2 Chest X-ray in the gastric floor diverticulum

3 Chronic sinusitis

4 Chest X-ray for gastric ulcers
: no abnormalities
are seen in the heart and lungs.

Esophagus: normal walking, soft and smooth walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no narrowing
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, a barium spot can be seen on the small curved side of the stomach, the surrounding mucosa is concentrated, the mucous membrane can reach the mouth of the niche, the stomach wall is soft, the tangential niche is located in the outer cavity of the niche edge is smooth, the size is about ( ), the upper part is slightly narrower, and no abnormalities
are seen in other parts of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Point tablets ( ) Zhang confirms the insight
.

5 Gastric penetrating ulcer
chest X-ray: cardiopulmonary diaphragm no abnormal
esophagus: normal walking, soft wall, smooth, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, a small curved side of the stomach body can be seen about ( ) X ( ) CM size sac band-like structure shadow, the outline is under-polished, its inner shadow shows three layers of signs, no mucosal fold structure shadow, narrower mouth, a larger visible range of transparent bands around the periphery, mucosal folds to the mouth entangled, above which a small papillary niche shadow can be seen, showing a "collar sign"
.
No abnormalities were seen in other parts
of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

6 Chest X-ray of gastric cancer
: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft and smooth tube wall, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, localized mucosal destruction area can be seen on the small curved side of the stomach, the local stomach wall is stiff, peristalsis disappears, and the boundary with the surrounding normal stomach wall is obvious, and no abnormalities
are seen in other parts of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

7 Chest X-ray of ulcerative gastric cancer
: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft and smooth tube walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, the small curved lateral cavity of the stomach body sees an irregular disc-shaped niche, and there is an irregular translucent ring around the niche, which can be seen in the "acupressure sign" and "fissure sign"
.
No abnormalities were seen in other parts
of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in perspective

8 Chest X-ray of ancilarium cancer
: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft and smooth tube walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: angled hook-shaped, narrowing of the antrum, a wide range of irregularities in the lateral area of sinus large bend, filling defects, showing "shoulder blade sign", disturbance of destruction of mucosal folds in the antrum, rough and stiff
sinus walls.
No abnormalities were seen in other parts
of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in perspective

9 Chest X-ray of residual stomach cancer
: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft and smooth tube wall, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, irregular mutilation of the large curved side of the residual gastric anastomosis, rough and stiff stomach wall on the large and small curved side, narrow anastomosis, irregular disorder of mucosal folds, and slow
passage of barium.
No abnormalities were seen in other parts
of the stomach.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus opens well
.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, and the contrast agent passes smoothly
.

Bowel: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no stenosis
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

10 Gastric mucosal prolapse
chest X-ray: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft and smooth tube walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, smooth contour, irregular mucous membrane, no damage, different sizes of gastric cells, irregular morphology, increased gastric residual fluid, peristalsis as usual, good pyloric opening, widening of the pyloric tube, visible gastric mucosa through
.

Duodenum: the ball is triangular, the morphology is regular, no niche shadow is seen, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, the contrast agent passes smoothly, the structure of the back blind part is clear, and no lesion
is seen.

Dot slice ( ) Zhang confirms what is seen in perspective

11 Chest X-ray of the formation of
gastrolithiasis: no abnormal
esophagus in the cardiopulmonary diaphragm: normal walking, soft tube walls, smooth mucous membrane rules, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, contoured, no niches, mucosal regularity, no destruction of the stomach can be seen a huge filling defect, the position can change with the change of position
.
The size of the gastric cell varies, the morphology is irregular, the residual fluid in the stomach increases, the peristalsis is normal, and the pylorus is well
opened.

Duodenum: the ball is triangular, the morphological rules, the morphological rules, no niche shadow, no irritation, the duodenal ring is not large, there is no pressure trace, peristalsis as usual, the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in perspective

12 Pyloric obstruction
chest X-ray: no abnormal
esophagus in cardiopulmonary diaphragm: normal walking, soft tube wall, smooth, regular mucous membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: a large number of food residues and gases in the stomach, gastric cavity dilation, gastric peristalsis weakened, contrast agent mixed with food residues, the fine structure of the stomach is not clearly displayed
.
The pyloric area is slightly limited in
expansion.
Duodenum: a small amount of contrast agent is injected inside and cannot be clearly shown
.

Dot slice ( ) Zhang confirms what is seen in perspective

4.
Duodenal lesions

1 Chest X-ray of duodenal bulbous ulcers
: no abnormalities in the cardiopulmonary diaphragm
.

Esophagus: normal walking, soft and smooth walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no narrowing
.
The contrast agent passes smoothly, the cardia is open intact and well
opened.

Stomach: fish hook-shaped, smooth contour, no niches, mucosal regularity, no destruction, normal size of the gastric community, complete
morphology.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the anterior wall of the bulb is seen in a niche about ( X ( ) CM size, surrounded by a soft transparent area, the mucosal folds are curled in a hub-like manner towards the niche shadow, and there are incision-like depressions
on the large curved side of the bulb.
The duodenal ring is not large, there is no pressure trace, the peristalsis is as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in perspective

2 Duodenal diverticulum
chest X-ray: no abnormalities in the cardiopulmonary diaphragm
.

Esophagus: normal walking, soft and smooth tube folds, regular mucosal membranes, no interruption and thickening, peristalsis as usual, no stenosis
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the duodenum is seen protruding outside the intestinal lumen, and there is a sac-like shadow connecting the narrow neck and the intestinal lumen, and there is a mucosal fold shadow
inside.
The duodenal ring is not large, there is no pressure trace, the peristalsis is as usual, and the contrast agent passes smoothly
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

3 Chest X-ray for duodenal cancer
: no abnormalities
in the heart and lungs.

Esophagus: normal walking, soft and smooth walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no narrowing
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Duodenum: an irregular lobular filling defect is seen in the lower concave of the duodenum, the mucosal folds in the filling defect area are destroyed and disappeared, the surrounding mucosal folds are irregular and disordered, the intestinal wall is rough and stiff, and the barium is not smoothly
passed.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

4 Chest X-ray in duodenal stasis
: no abnormalities
in the heart and lungs.

Esophagus: walking normally, the wall of the tube is soft, smooth, the mucous membrane is regular, no interruption and thickening are seen, peristalsis is as usual, no niches are seen, the mucosal membrane is regular, no damage
is seen.
The size of the gastric cell is normal and the morphology is complete
.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche shadow, no irritation, the water of the duodendron is large, and the horizontal part can be seen "pen holder sign", and reverse peristalsis can be seen, and the contrast agent is mildly blocked
.

Small intestine: normal distribution, good range of motion, no adhesions, regular empty ileal mucosa, no narrowing
.
The contrast agent passes smoothly, the structure of the back blind part is clear, and no lesions
are seen.

Dot slice ( ) Zhang confirms what is seen in
perspective.

5.
Diseases of the small intestine

1 No abnormalities in small bowel contrast: no abnormalities in the cardiopulmonary diaphragm.

Routine preparation, through the subnasal small intestine shadow tube to the second group of small intestine, self-contrast tube injection 5% barium 2500ML, observation of barium head to the cecum, showing 2-6 groups of small intestinal duct wall complete wall, each group of small intestinal mucosa rules, no narrowing, signs of adhesion and filling defects, peristalsis good barium agent through smoothly
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

2 Chest X-ray for small intestinal roundworm disease
: no abnormalities
are seen in the heart and lungs.

Esophagus: normal walking, soft and smooth walls, regular mucous membranes, no interruption and thickening, peristalsis as usual, no narrowing
.
The contrast agent passes smoothly, the cardia morphology is complete, and the opening is good
.

Stomach: fish hook-shaped, smooth contour, no niches, regular mucous membranes, no damage
.
The size of the gastric cell is normal and the morphology is complete
.
There is no increase in the residual fluid in the stomach, and the peristalsis is as usual
.
The pylorus is well
opened.

Duodenum: the ball is triangular, the morphology is regular, there is no niche, no irritation, the duodenal ring is not large, and the uneven part can be seen "pen rod sign", and reverse peristalsis can be seen, and the contrast agent is mildly blocked
.

Small intestine: normal distribution, good range of motion, earthworm-like filling defect can be seen in the ileum, first-line barium agent shadow can be seen in the center of the filling defect, intestinal mucosa folds and intestinal wall are normal
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

3 Jejunum multiple diverticulum
jejunum jejunum segment sees multiple round cystic shadows of varying sizes, there is a narrow neck connected to the intestinal lumen, and see intestinal mucosa folds penetrating into it, 2 hours jejunum empty supine position tablets show that the left mid-upper abdomen see multiple barium storage photos
of different sizes and morphologies.

Dots ( ) Zhang confirm what you see
.

4 Irregular columnar soft tissue mass shadow can be seen in the middle and lower abdomen on the right side of intussusception
, and a dense spring-shaped mucosal fold shadow can be seen to overlap it, and the compression image shows that the soft tissue block is not well contoured, and the surface is covered with irregular cords and linear shadows
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

5 Intestinal tuberculosis
ileum unterved contraction narrowing, rough serrated changes in the intestinal wall, mucosal fold disorder, during which multiple irregular niches overlap, and show that the unterciled ileum is adhesion to the surrounding intestinal duct, blind contraction and filling are poor, and the cecum and ascending colon are seen in deep and pointed irregular intestinal pockets
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

6 Small bowel cancer
.

Localized irregular filling defect areas are seen in the distal end of the ileum, mucosal folds are destroyed, reduced, intestinal wall erosion is rough and unclear, filling defects are dilated proximal to the ileum and show signs of counter-pressure, barium passage is difficult
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

6.
Diseases of the large intestine

1 Colostrography did not see abnormal
contrast method: 50% concentration of barium agent 250ML and an appropriate amount of gas were injected by intubation, and the patient repeatedly rotated the position and then looked at the next point piece
.

What is seen on the contrast: the colon is normally distributed, no stenosis is seen, the colon bag is intact, the rules are not destroyed, the mucous membrane is not thick, and the peristalsis is as usual
.
Contrast was well applied, the appendix was not developed, and no abnormalities
were seen in the final ileum.

Dot slice ( ) Zhang confirms what is seen in
perspective.

2 Ulcerative colitis
contrast method: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by intubation, and the patient is repeatedly transferred to the position and then fluoroscopic under the point.


What is seen on angiography: the colon is normally distributed, no narrowing is seen, the descending colon and sigmoid colon bags disappear, the intestinal cavity wall line is rough, the edges show multiple serrated protrusions, the mesh-like structure of the mucosal surface disappears and many dot-like elevation shadows of varying sizes are seen, and most of the hypertrophic shadows are surrounded by fine circles of translucent edema.


Dot slice ( ) Zhang confirms what is seen in perspective

3 Colon polyp
contrast method: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by intubation, and the patient repeatedly rotates the position and then looks at the next point.


Seen on contrast: the colon is normally distributed, no stenosis is seen, and the medial wall of the upper colon is aligned
.
The colon bag is intact, the rules are not broken, the mucous membrane is not thick and peristaltic as usual
.
Contrast is well applied and the appendix is developed
.

Dots ( ) Zhang confirm what you see
.

4 Allergic colitis
contrast method: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by intubation, and the patient repeatedly rotates the position and then looks at the next point tablet
.

What is seen on the angiography: the distribution of the colon is normal, no stenosis is seen, the tone of the descending colon is increased, the intestinal lumen is narrowed, the colon bag is irregularly increased, the shape of some intestinal bags is spike-like, and the mucosal folds are increased and more disordered
.

Dot slice ( ) Zhang confirms what is seen in
perspective.

5 Children with Hirschsprung's disease
have difficulty in intubation of the anus, difficulty in advancing at about ( ) CM in the canal, and after injection of contrast agent, sigmoid colon and partial descending colon are observed, and significant dilation
can be seen.
Significant stenosis is seen at the end of the rectum, and no abnormalities
are seen.

Dots ( ) Zhang confirm what you see
.

6 Colon cancer
contrast method: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by intubation, and the patient repeatedly rotates the position and then looks at the next point.


What is seen on contrast: descending colon sees a long irregular circular narrowing area of about ( ) CM, mucosal fold destruction disorder, rough and stiff intestinal wall, local lesions, and clear
demarcation with normal intestinal segments.

Dot slice ( ) Zhang confirms what is seen in
perspective.

7 Chronic appendicitis
contrast method: injected by an tube with 50% concentration of barium agent 250ML and an appropriate amount of gas ni patients repeatedly turn the position after fluoroscopic lower point tablets
.

What is seen on the contrast: the colon is normally distributed, no stenosis is seen, the colon bag is intact, the rules are not destroyed, the mucous membrane is not thick, and the peristalsis is as usual
.
Contrast was well applied, and no abnormalities
were seen in the ileal development at the end of the appendix.

Dot slice ( ) Zhang confirms what is seen in
perspective.

8 Lengthy
contrast method of sigmoid colon: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by intubation, and the next point tablet is
fluoroscopic after repeated rotation of the position by the patient.

What is seen on the contrast: the colon is normally distributed, no narrowing is seen, the colon is intact, the rules are not destroyed, the mucosal membrane is regular, the sigmoid colon is folded too much, up to ( ) place, peristalsis as usual
.
Contrast was well applied, the appendix was not developed, and no abnormalities
were seen in the final ileum.

Dot slice ( ) Zhang confirms what is seen in
perspective.

7.
Acute abdomen

1 Gastric perforation (combined with history)
abdominal flat piece: bilateral morphine and below the right abdominal wall are seen in the half-moon and broadband transparent shadows
, respectively.

2 Abdominal flat piece of intestinal obstruction
: the intestinal lumen is depressed with a large amount of gas, and the whole abdomen shows multiple air-fluid planes
with varying width and narrowness, and are arranged in a stepped manner.
Yu did not see any abnormalities
.

3 Sigmoid torsion
imaging method: 50% concentration of barium agent 250ML and an appropriate amount of gas are injected by insert, and the patient repeatedly rotates the position and then looks at the next point.


What is seen on angiography: the sigmoid colon is congested at the junction of the rectum, the upper end is narrowed to the "bird's beak", the tip of the bird's beak points to the right, and the distal end of the fold structure is almost parallel, and the twisted intestine is partially filled
with visible contrast agent.
Yu is not abnormal
.

Dot slice ( ) Zhang confirms what is seen in
perspective.