CT ABDOMEN AND PELVIS
PAYABLE
NONPAYABLE
Checklist Template
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Flatulence/gas pain,
abdominal distention,
urinary tract infection.
Generic
Symptom checklist
(with tables):
abdominal pain,
hematuria, flank
pain
Disease macros:
appendicitis,
diverticulitis, small
bowel obstruction,
adrenal mass
Disease Macros
Template ordered finding list
Abdominal pain
Flank pain
Hematuria
Constipation
Diarrhea
Pelvic pain
Nausea and vomiting
Malignant neoplasm
Abnormal weight loss
Abormal LFTs
Abdominal injury
Finding List
Indication
Disease List
Malignant neoplasm (colon, lung, breast,
ovary, prostate, testis, bladder, kidney),
neoplasm (cervix), lymphoma,
appendicitis, bowel obstruction,
diverticulitis, calculus (renal or ureteral),
acquired kidney cyst, hematuria, abnormal
weight loss, diarrhea, abdominal pain
(unspecified, RUQ, LUQ, RLQ, LLQ,
epigastric), abnormal liver function tests,
abdominal injury
Templates
Appendicitis, diverticulitis, small bowel obstruction
File name: “CT Abdomen and pelvis without contrast” (AKA “CT KUB”)
UNENHANCED ABDOMEN AND PELVIS CT
INDICATION:
[+Payable: Malignant neoplasm (colon, lung, breast, ovary, prostate, testis, bladder, kidney;
neoplasm (cervix); lymphoma; appendicitis, bowel obstruction, diverticulitis, calculus (renal or
ureteral), acquired kidney cyst, hematuria, abnormal weight loss, diarrhea, abdominal pain
(unspecified, RUQ, LUQ, RLQ, LLQ, epigastric), abnormal liver function tests, abdominal
injury+]
[+Nonpayable: flatulence/gas pain, abdominal distention, urinary tract infection.+]
COMPARISON: []
TECHNIQUE: Images were obtained through (anatomy) [+following oral ingestion of (Redicat
or oral Isovue)+].
INTERPRETATION:
Lung bases: [<Normal.>]
Musculoskeletal structures: [<Normal.>]
Liver: [<Normal.>]
Spleen: [<Normal.>]
Gallbladder: [<Normal.>]
Hepatobiliary tree: [<Normal.>]
Pancreas: [<Normal.>]
Kidneys and ureters: [<Normal.>]
Adrenals: [<Normal.>]
Vasculature: [<Normal.>]
Lymphatics/retroperitoneum: [<Normal.>]
Bowel: [<Normal.>]
Peritoneal cavity: [<Normal.>]
Abdominal wall: [<Normal.>]
Pelvis: [<Normal.>]
IMPRESSION:
[]
[+Signature/location.+]
File name: “CT Abdomen and pelvis with contrast”
CONTRAST ENHANCED ABDOMEN AND PELVIS CT
INDICATION:
[+Payable: Malignant neoplasm (colon, lung, breast, ovary, prostate, testis, bladder, kidney;
neoplasm (cervix); lymphoma; appendicitis, bowel obstruction, diverticulitis, calculus (renal or
ureteral), acquired kidney cyst, hematuria, abnormal weight loss, diarrhea, abdominal pain
(unspecified, RUQ, LUQ, RLQ, LLQ, epigastric), abnormal liver function tests, abdominal
injury+]
[+Nonpayable: flatulence/gas pain, abdominal distention, urinary tract infection.+]
COMPARISON: []
TECHNIQUE: Images were obtained from above the diaphragm through the symphysis pubis
following oral ingestion of [] contrast material along with IV injection of [] mL of [+Isovue 370
mg/mL+]. [+Portal venous phase and delayed images were obtained following contrast material
injection.+]
INTERPRETATION:
Lung bases: [<Normal.>]
Musculoskeletal structures: [<Normal.>]
Liver: [<Normal.>]
Spleen: [<Normal.>]
Gallbladder: [<Normal.>]
Hepatobiliary tree: [<Normal.>]
Pancreas: [<Normal.>]
Kidneys and ureters: [<Normal.>]
Adrenals: [<Normal.>]
Vasculature: [<Normal.>]
Lymphatics/retroperitoneum: [<Normal.>]
Bowel: [<Normal.>]
Peritoneal cavity: [<Normal.>]
Abdominal wall: [<Normal.>]
Pelvis: [<Normal.>]
IMPRESSION:
[]
[+Signature/location.+]
File name: “CT Abdomen and pelvis without and with contrast”
UNENHANCED AND CONTRAST ENHANCED ABDOMEN AND PELVIS CT
INDICATION:
[+Payable: Malignant neoplasm (colon, lung, breast, ovary, prostate, testis, bladder, kidney;
neoplasm (cervix); lymphoma; appendicitis, bowel obstruction, diverticulitis, calculus (renal or
ureteral), acquired kidney cyst, hematuria, abnormal weight loss, diarrhea, abdominal pain
(unspecified, RUQ, LUQ, RLQ, LLQ, epigastric), abnormal liver function tests, abdominal
injury+]
[+Nonpayable: flatulence/gas pain, abdominal distention, urinary tract infection.+]
COMPARISON: []
TECHNIQUE: Images were obtained through [+name anatomy+] after oral but before IV
contrast administration. Images were obtained through [+name anatomy+] following oral
ingestion of [] contrast material along with IV injection of [] mL of [+Isovue 370 mg/mL+].
[+Portal venous phase and delayed images were obtained following contrast material injection.+]
INTERPRETATION:
Lung bases: []
Musculoskeletal structures: []
Liver: []
Spleen: []
Gallbladder: []
Hepatobiliary tree: []
Pancreas: []
Kidneys and ureters: []
Adrenals: []
Vasculature: []
Lymphatics/retroperitoneum: []
Bowel: []
Peritoneal cavity: []
Abdominal wall: []
Pelvis: []
IMPRESSION:
[]
Dictated at []
Cause
ABDOMINAL PAIN
Clinical Features Imaging Findings
Pneumonia
(referred pain)
Pulmonary
embolism/infarction
Pericarditis
Cough; fever; elevated WBC
count
Cough; dyspnea; elevated WBC
count
Dyspnea; ECG changes
Nerve invasion
Nerve root
compression
Nerve distribution of pain
Dermatomal distribution of pain
LUNG BASES
Lung base ground glass opacity,
consolidation, or effusion
Lung base Hampton’s hump or arterial filling
defect
Fluid, thickening, or calcification of the
pericardium
MUSCULOSKELETAL STRUCTURES
Tumor, if there is one
Spinal canal stenosis or disc herniation
LIVER
Cirrhosis
Congestive
hepatomegaly
Hepatitis
Anorexia; fatigue; weight loss;
elevated liver enzymes
Dyspnea
Elevated liver enzymes
Hepatic abscess
Fever; elevated WBC count
Sickle cell crisis
Sickle cell disease; anemia
Splenic infarction
Splenic rupture or
abscess
Trauma; elevated WBC count
Cholecystitis
Murphy’s sign; elevated WBC
count
Biliary tree
obstruction
Elevated liver enzymes
Abnormal morphology of the liver with
nodular surface
Large liver; findings of congestive heart
failure; hepatic vein reflux
Large liver; heterogenous enhancement of the
liver
Liver mass lacking central enhancement
SPLEEN
Bone infarcts and small or absent, infarcted
spleen
Wedge-shaped non-enhancing segment
Discontinuity; hypodense lesion lacking
central enhancement
GALLBLADDER
Gallstones; gallbladder wall thickening;
pericholic fat stranding or fluid
HEPATOBILIARY TREE
Dilated biliary tree with or without
calcifications
PANCREAS
Pancreatitis
Elevated lipase and amylase;
elevated WBC count
Swollen pancreas; peripancreated fat
stranding; ascites; thick walled duodenum
(rarely)
KIDNEYS AND URETERS
Renal calculi
Hematuria
Pyelonephritis
Urinary track
obstruction
Renal infarction
Pyuria; elevated WBC count
Hematuria
Hematuria
Calcifications in the kidneys, ureters, or
bladder
Striated nephrogram
Dilated collecting system; stone or intrinsic
or extrinsic tumor
Wedge-shaped lack of contrast enhancement
ADRENALS
Metastatic disease
Hematoma
Known primary tumor
Anticoagulation, trauma, or
adrenal tumor
Aortic aneurysm
dissection or
rupture (7)
Pulsatile abdominal mass;
hypotension or shock
Mass
Mass
VASCULATURE
Distension of aortic lumen; dissection; poor
definition of abdominal aortic margin
LYMPHATICS/RETROPERITONEUM
Psoas abscess
Elevated WBC count
Retroperitoneal mass lacking central
enhancement
BOWEL
Esophagitis
Esophageal rupture
Gastric cancer
Gastroenteritis
Bowel obstruction
Inflammatory
bowel disease
Ischemic bowel or
mesentery
Meckel’s
diverticulum
Appendicitis
Postprandial pain
Vomitting; anorexia
Anorexia; hematemasis
Abdominal distension; increased
bowel sounds
Intermittent diarrhea
Pain worse after meals; weight
loss; other vascular disease (PAD,
CAD, stroke)
Elevated WBC count
Diverticulitis
Loss of appetite; rebound
tenderness; elevated WBC count
Elevated WBC count
Colitis
Diarrhea
Colon cancer
Hematochezia
Peritonitis
Mesenteric adenitis
Rebound tenderness; elevated
WBC count
Elevated WBC count
Bowel perforation
Loss of appetite
Subdiaphragmatic
abscess
Fever; elevated WBC count
Hiatal hernia
Free air in the mediastinum
Stomach wall mass
Thick walled stomach (rarely)
Dilated proximal and collapsed distal bowel;
causative lesion at lead point
Thick walled bowel; perieneteric fat
stranding or fluid
Air in bowel wall or free air; constricted or
absent arterial flow; mesenteric arterial or
venous or portal vein thrombosis; fat
stranding in mesentery
Abnormal outpouching of bowel; fluid or fat
stranding if inflamed
Swollen appendix; periappendiceal fat
stranding or fluid
Diverticulae plus thick walled colon,
pericolic fat stranding or fluid
Thick walled large bowel; pericolic fluid or
fat stranding
Thick walled bowel; possibly obstruction
PERITONEAL CAVITY
Ascites or peritoneal fat stranding
Lymphdenopathy of mesentery; “misty
mesentery”
Free air in the peritoneal cavity; fluid or fat
stranding
Subdiaphragmatic mass lacking central
enhancement
ABDOMINAL WALL
Hernia –
incarcerated
Hematoma
Mass; prior surgery
Anti-coagulated from drugs or
bleeding disorder
Bowel loop with focal distension or in
abnormal position
Soft tissue density in abdominal wall or
retroperitoneum (rarely intraperitoneal)
Muscle wall trauma
Trauma
Hematoma or discontinuous muscle in
abdominal wall
Pelvic
inflammatory
disease
Ectopic pregnancy
Endometriosis
Vaginal discharge; cervical
tenderness; elevated WBC count
Pelvic free fluid or fat stranding; tubovarian
swelling/mass
Positive pregnancy test
Pain related to menstrual cycle
Ovarian torsion
Prostatitis
Adnexal pain
Large prostate; elevated WBC
count
Palpable bladder
Adnexal mass, fluid, or fat stranding
Soft tissue implant in pelvis or peritoneal
cavity; ascites; fat stranding
Adnexal mass, fluid, or fat stranding
Large prostate
PELVIS
Bladder distension
Dilated bladder; cause (enlarged prostate
gland, bladder neck/urethral stone or tumor)
ABDOMINAL PAIN WITH VERY SUBTLE, VERY
INFREQUENT, OR NO CT FINDINGS
Peptic ulcer disease; irritable bowel syndrome; inferior wall MI (unless there is also CHF); porphyria;
diabetic ketoacidosis; herpes zoster; Mittleschmerz; cystitis; food allergy; lead poisoning; Mediterranean
fever; myositis; typhoid fever; uremia
Disease Macros:
Appendicitis. Insert in “Bowel” paragraph: [+Describe findings of appendicitis including presence of
rupture, caliber, associated periappendiceal fluid/fat stranding, absence/presence/amount of free air,
associated abscess.+]
Diverticulitis. Insert in “Bowel” paragraph: [+Describe findings of diverticulitis including length of
involved bowel segment, involved segment (and distance from anus), absence/presence/amount of free
air, associated abscess, micro- versus macro-perforation.+]
Small bowel obstruction: Insert in “Bowel” paragraph: [+Insert in Bowel paragraph.+] [+Describe
findings of small bowel including measurement of proximal distension, description of distal collapse,
location of transition point, and any causative abnormality at the transition point. Describe free fluid or
free air in the peritoneal cavity and any fat stranding.+]
Adrenal mass. Insert in “Adrenals” paragraph: Adrenal gland mass measurement: []. Adrenal gland
Hounsefield unit measurements on noncontrast study is [], on the portal venous phase is []%, and on the
delayed venous phase is [], for a relative washout of []% and enhancement washout of []%. For
explanation of measurements, see Caoili EM, Korobkin M, Francis IR, et al. Adrenal masses:
characterization with combined unenhanced and delayed enhanced CT. Radiology 2002; 222:629-33.
File name: “CT Abdomen and pelvis done for pain”
CONTRAST ENHANCED ABDOMEN AND PELVIS CT
INDICATION:
Abdominal pain. []
COMPARISON: []
TECHNIQUE: Images were obtained from above the diaphragm through the symphysis pubis following
oral ingestion of [] contrast material along with IV injection of [] mL of [+Isovue 370 mg/mL+]. [+Portal
venous phase and delayed images were obtained following contrast material injection.+]
INTERPRETATION:
Lung bases: [+No nodule or mass identified (cancer, abscess).+] [+No ground glass opacity or
consolidation identified (pneumonia, PE, post-obstructive atelectasis).+]
Musculoskeletal structures: [+No foraminal stenosis or neural compression from tumor.+]
Liver: [+No nodularity (hepatitis or cirrhosis, no solitary (abscess) or multifocal masses (metastatic
disease), identified.+]
Spleen: [+No wedge shaped defect (infarct), mass lacking central enhancement (abscess), or diminished
size (sickle cell disease with possible sickle cell crisis) identified.+]
Gallbladder: [+No stones, pericholic fluid, pericolic fat stranding (cholelithiasis/cholecystitis).+]
Hepatobiliary tree: [+No distension (tumor, stone disease).+]
Pancreas: [+No swelling, peripancreatic fluid or stranding (pancreatitis).+]
Kidneys and ureters: [+No striated nephrogram (pyelonephritis), ass lacking central enhancement
(abscess), distended collecting system and perinephric stranding (obstruction), or calcifications (stone
disease).+]
Adrenals: [+No mass (metastatic disease) or hemorrhage identified.+]
Vasculature: [+No filling defects in visualized pulmonary arteries (pulmonary embolism), arterial
distension (aneurysm), dissection (dissection), or periarterial fluid/stranding (rupture).+] [+No arterial
stenosis to bowel (mesenteric ischemia).+] [+No filling defect of portal venous system or mesenteric
veins (portal vein or mesenteric vein thrombosis with mesenteric ischemia).+]
Lymphatics/retroperitoneum: [+No enlarged lymph nodes (metastatic disease, mesenteric adenitis). No
psoas mass lacking central enhancement (psoas abscess).+]
Bowel: [+No hiatal hernia or mass (GERD).+] [+No stomach wall thickening (gastritis) or mass (gastric
cancer, lymphoma).+] [+No proximal small bowel distension/distal collapse (obstruction), malposition
(hernia), wall thickening (inflammatory bowel disease), perienteric fluid or fat stranding (inflammatory
bowel disease), air in the bowel wall (ischemic bowel disease).+] [+No appendix distension, enhancing
wall, periappendiceal fluid or fat stranding (appendicitis).+] [+No colonic distension (obstruction;
constipation), wall thickening, pericolic fluid or fat stranding, (colitis, diverticulitis, colon cancer)
pericolic air (perforation), air in the bowel wall (ischemic bowel disease, diverticulitis).+]
Peritoneal cavity: [+No masses (metastatic deposits, endometriomas). No free air (bowel perforation).
No free fluid/fat stranding (inflammatory bowel disease, diverticulitis, peritonitis, mesenteric adenitis).
No subphrenic mass lacking central enhancement (subphrenic abscess).+]
Abdominal wall: [+No discontinuity (hernia). No abnormal muscle thickening or mass (hematoma).+]
Pelvis: [+No adnexal mass/free fluid/fat stranding (ectopic pregnancy, ovarian cyst/torsion). No prostate
enlargement/periprostatic fluid or fat stranding (prostatitis). Normal sized bladder (bladder distension).+]
IMPRESSION:
[]
Dictated at []
FLANK PAIN
CT Finding
Cause
LUNG BASES
MUSCULOSKELETAL STRUCTURES
Trauma
Disc disease
Rib or vertebral fracture
Disc narrowing or abnormal contour
LIVER
SPLEEN
GALLBLADDER
HEPATOBILIARY TREE
PANCREAS
KIDNEYS AND URETERS
Trauma
Stone disease
Infection: pyelonephritis
Renal obstruction
Polycystic kidney disease
discontinuous kidney or hematoma
Radio-opaque calculi; hydronephrosis; perinephric stranding
Perinephric stranding
Dilated collecting system
Enlarged kidneys with multiple well defined low density
regions
Renal mass; lymphadenopathy if mets
Renal mass
Renal cancer
Spontaneous renal hemorrhage
ADRENALS
VASCULATURE
Aortic aneurysm rupture
Dilated aorta; peri-aortic fluid and fat stranding
LYMPHATICS/RETROPERITONEUM
Renal cancer
Aortic aneurysm rupture
Renal mass; lymphadenopathy if mets
Dilated aorta; peri-aortic fluid and fat stranding
Bowel e.g. appendicitis, diverticulitis
Bowel wall thickening; periappendiceal or pericolic fluid and
fat stranding; free air if perforated
BOWEL
PERITONEAL CAVITY
ABDOMINAL WALL
PELVIS
Prostatic hypertrophy or prostatitis
Bladder stone
Bladder wall inflammation
Enlarged prostate
Bladder stone
Inflammatory changes adjacent to the bladder
THE FOLLOWING DISEASES HAVE FEW IF ANY FINDINGS ON
UNENHANCED CT STUDY
Papillary necrosis; renal vein thrombosis; renal artery dissection; cortical necrosis/renal infarct (unless
accompanied by stranding)
File name: “CT Abdomen and pelvis done for flank pain”
UNENHANCED ABDOMEN AND PELVIS CT
INDICATION: Flank pain. [+Hematuria or trauma.+]
COMPARISON: []
TECHNIQUE: Images were obtained through (anatomy) [+following oral ingestion of (Redicat
or oral Isovue)+].
INTERPRETATION:
Lung bases: [+Consolidation or effusion from pneumonia.+]
Musculoskeletal structures: [+Rib or vertebral fracture, disc disease.+]
Liver: []
Spleen: []
Gallbladder: []
Hepatobiliary tree: []
Pancreas: []
Kidneys and ureters: [+Discontinuous kidney or hematoma from trauma, stones, hydronephrosis,
perinephric stranding, polycystic kidneys, renal mass, spontaneous renal hemorrhage.+]
Adrenals: [+Metastatic disease from renal cancer.+]
Vasculature: [+Aortic aneurysm with rupture or inflammation.+]
Lymphatics/retroperitoneum: [+Lymphadenopathy from renal cancer metastases.+]
Bowel: [+Appendicitis, diverticulitis, or other inflammation adjacent to the bladder.+]
Peritoneal cavity: [+Inflammatory changes adjacent to the renal collecting system, ureters, or
bladder.+]
Abdominal wall: []
Pelvis: [+Enlarged prostate gland, bladder stone, inflammation adjacent to bladder.+]
IMPRESSION:
[]
Dictated at []
HEMATURIA
Radiographic Findings
Cause
LUNG BASES
MUSCULOSKELETAL STRUCTURES
Sickle cell disease
Bone infarcts
LIVER
SPLEEN
Sickle cell disease
Hemophilia
Absent/small spleen; bone infarcts
Hyperdense spleen
GALLBLADDER
HEPATOBILIARY TREE
PANCREAS
KIDNEYS AND URETERS
Stone disease
Cancer – kidney
Cancer – ureter
Infection: renal, bladder; schistosomiasis
Glomerular disease
Trauma
Polycystic kidney disease
Drugs
Renal infarction
Papillary necrosis
Obstructive nephropathy
SLE
Hemophilia
Rheumatic fever
Leukemia
Wegener granulomatosis
Calcifications in the collecting system
Renal mass
Ureteral mass or filling defect
Striated nephrogram; perinephric stranding
None or diffuse decrease in renal size
None through renal fracture
PCKD
None versus blunted papilla
Wedge-shaped filling defect
Blunted papilla
Dilated collecting system
Small kidneys
Subcapsular hematoma
Renal infarction
Large kidneys
Renal infarct, perinephric or retroperitoneal hematoma
ADRENALS
VASCULATURE
Renal vein thrombosis
Renal artery aneurysm
Renal AVM
Filling defect in renal vein
Dilated renal artery
AVM
LYMPHATICS/RETROPERITONEUM
Wegener granulomatosis
Renal infarct, perinephric or retroperitoneal hematoma
BOWEL
Bowel e.g. appendicitis, diverticulitis
Inflamed bowel & perienteric fat
PERITONEAL CAVITY
ABDOMINAL WALL
PELVIS
Prostate hypertrophy & prostatitis
Enterovesical fistula
Endometriosis
Cancer of the bladder
Cancer of the prostate
Enlarged prostate
Gas/oral contrast in bladder vrs IV contrast in bowel
None versus soft tissue mass
Mass or filling defect of the bladder
Enlarged prostate
HEMATURIA WITH VERY SUBTLE, VERY
INFREQUENT, OR NO CT FINDINGS
Exercise
File name: “CT Abdomen and pelvis done for hematuria”
UNENHANCED AND CONTRAST ENHANCED ABDOMEN AND PELVIS CT
INDICATION:
Hematuria. [+Review UA for at least 3 RBCs per HPF, casts and dysmorphic red cells
(glomerulonephritis), WBCs (infection); review CBC for leukocytosis (infection), patient
questionnaire for causes of hematuria.+]
COMPARISON: []
TECHNIQUE: Axial images were obtained through the abdomen and pelvis without contrast
material. [] mL of Isovue 370 contrast material was injected, and axial images of the abdomen
and pelvis were obtained during the portal venous phase and twelve minutes following injection.
Images were reviewed at a workstation allowing multiplanar reformatting. Coronal and sagittal
images as well as maximum intensity projection images of the renal collecting system, ureters,
and bladder (made with a separate Vitrea workstation) were saved to PACS.
INTERPRETATION:
Lung bases: []
Musculoskeletal structures: [+No bone infarcts are identified (sickle cell disease).+]
Liver: []
Spleen: [+The spleen is normal (sickle cell disease).+]
Gallbladder: []
Hepatobiliary tree: []
Pancreas: []
Kidneys and ureters: [+No stone disease identified.+] [+No calcifications within the kidneys,
ureters, or bladder are identified (stone disease).+] [+The kidneys are of normal size (polycystic
disease), enhance uniformly without evidence of mass (cancer, AVM), striation (pyelonephritis),
or wedge-shaped unenhancing segment (infarct).+] [+No blunting (papillary necrosis) or
striations (medullary sponge kidney) identified.+] [+No filling defects (low-density stone,
cancer) or distension (obstruction).+] [+No ureteral filling defect or distension identified.+]
Adrenals: []
Vasculature: [+Patent (no renal vein thrombosis), showing normal size (renal artery aneurysm,
AVM) and position (retro-aortic left renal vein).+] [+The aorta shows normal caliber
(aneurysm) and no peri-aortic fluid or fat stranding (rupture).+]
Lymphatics/retroperitoneum: []
Bowel: [+The visualized bowel loops adjacent to the urinary track show normal wall thickness
and no peri-enteric inflammatory change (diverticulitis, inflammatory bowel disease,
appendicitis).+]
Peritoneal cavity: [+No soft tissue masses to suggest endometriosis.+]
Abdominal wall: []
Pelvis: [+Normal bladder. No stones, wall thickening (cancer), fat stranding (cancer, infection),
or visible filling defect(cancer) identified.+] [+The prostate demonstrates normal size (prostate
cancer, benign prostatic hypertrophy, prostatitis).+] [+No peritoneal or pelvic soft tissue masses
are identified (endometriosis).+]
IMPRESSION:
[]
Dictated at []
File name: “CT Abdomen and pelvis done for injury”
ABDOMEN AND PELVIS CT WITH CONTRAST
INDICATION: [+Abdominal pain (unspecified, RUQ, LUQ, RLQ, LLQ, epigastric), abdominal
injury (SAY “INJURY” NOT “TRAUMA”+]
COMPARISON: []
TECHNIQUE: Images were obtained from above the diaphragm through the symphysis pubis
following [+oral ingestion of contrast material along with +] IV injection of [] mL of Isovue 370
mg/mL. [+Immediate and delayed images were obtained following contrast material injection.+]
Lung bases: [+Contusion, pneumothorax.+]
Musculoskeletal structures: [+Fracture, dislocation.+]
Liver: [+Laceration, hematoma, contrast enhancement.+]
Spleen: [+Laceration, hematoma, contrast enhancement.+]
Gallbladder: [+Intact.+]
Hepatobiliary tree: [+Intact.+]
Pancreas: [+Laceration, hematoma, contrast enhancement.+]
Kidneys: [+Laceration, hematoma, contrast enhancement or extravasation.+]
Adrenals: [+Laceration, hematoma, contrast enhancement.+]
Vasculature: [+Laceration, hematoma, contrast enhancement, “flat” IVC sign of shock.+]
Lymphatics/retroperitoneum: [+Free air.+]
Bowel: [+Free air, contrast extravasation, distention.+]
Peritoneal cavity: [+Free air, free fluid, fresh blood.+]
Abdominal wall: [+Hernia, hematoma, mass.+]
Pelvis: [+Contrast extravasation from ruptured bladder, free fluid.+]
IMPRESSION: []
Dictated at []