It has been a little hectic at
clinicals. I have been very busy at my clinical site, Deaconess Gateway Hospital in Evansville, IN. I had a couple of interesting cases.
First interesting case I had was an 86 year old white male from ED complaining of right lower quadrant and groin pain. Patient had an inguinal hernia repair approximately 2 weeks prior. Patient stated the pain medications made him constipated and was straining to have a bowel movement, when a large knot appeared in his right groin area. I scanned patient axially using the standard abdomen and pelvis protocol from just above the top of the diaphragm to the bottom the pelvis, administering 85cc of
Omnipaque 350. I then reformatted the images into coronals and
sagittals. The radiologist read the report as 5 x 11 cm fluid collection in right inguinal canal. It may represent simple fluid or
seroma although difficult to exclude abscess. No bowel herniation seen.
Then I had a 56 year old white female who came in through the ED with shortness of breath and chest pain. She has a family history of pulmonary
emboli, her mother and brother have both had them. I scanned the patient axially through her entire lung field, administering 100 cc of
Omnipaque 350. I also reformatted them in
sagittal and coronal
MIPs. The radiologist read the exam as acute bilateral PE, right greater than left.
