Abdomen Supine Upright

Note of non-dilated bowel loops with moderate fecal shadows

No abnormal soft tissue mass density seen
Note of T-shaped metallic density at the lower pelvic area
Visualized osseous structures are unremarkable
Normal: Metallic Density Intrauterine Device

Gastric and Intestinal Ileus - Note massive gaseous distention of gastric shadow
and bowel loops.
No localizing signs of intestinal obstruction seen
No abnormal soft tissue mass density noted
No intraabdominal calcifications seen

Fecal Impaction Considered - Note of non-dilated bowel loops with moderate to

massive fecal shadows

Orthopedics - Right shoulder AP shows no gross evidence of fracture or any sign

of osseous pathology

Skull APL show no gross evidence of fracture or any sign of osseous pathology

Elbow - Right elbow APL show no gross evidence of fracture or any sign of
osseous pathology
Elbow joint space is intact

Cardiomegaly - Heart is enlarged transversely with CT ratio of 0.56

Basal Pneumonitis, Right - Note of hazy patchy densities at the right

paracardiac area

Suggest apico-lordotic view - There are suspicious densities at the right lung
apex partly obscured by osseous structures

Pleural Reaction - Diaphragm shows tenting at the left

Pleural Diaphragmatic Adhesions – Right Hemidiaphragm shows tenting

deformity

Degenerative Osteoarthropathy - show sclerotic changes at the vertebral end-

plates with bony spurs formation at the anterior border of vertebral bodies.

Compression Deformity, C3-C5 - decrease in vertebral body height of C3-C5

spaces are narrowed and irregularly spaced

Retrolisthesis, C5 – There is a posterior displacement of C5

Calcified Ligament, Retrospinal Area - is an elongated soft tissue calcific
density at the retrospinal area level of C5 and C6

Lumbosacral APL - no gross evidence of fracture or any sign of osseous

pathology

Lumbar Instability - There is straightening of the normal lordotic curvature of

the lumbar spine probably due to splinting. The line of weight bearing falls
anterior of sacral promontory with Ferguson’s angle of 47 degrees

Compression Deformity, T12 - There is decrease in vertebral body height of T12

Intervertebral spaces are narrowed and irregularly spaced

Lumbar Dextroscoliosis - There is lateral curvature of lumbar spine to the right

Spondylolisthesis, L4 over L5 - There is anterior displacement of L4 over L5 to

about ¼ the width of the body of L5

Exostosis, Both Tibia - Note of bony outgrowth at the medial aspect of both
proximal tibia (metaphyseal portion)

Degenerative Osteoarthropathy, Thoracolumbar Spine - Thoracolumbar APL

show sclerotic changes at the vertebral end-plates with bony spurs formation at
the anterolateral border of some of the vertebral bodies.
The lower lumbar vertebrae are cut-off from film

Chest bucky shows no gross evidence of fracture or any sign of osseous

pathology. Suggest Chest PA for proper cardio-pulmonary evaluation

Chest Apico-lordotic view shows no gross evidence of Koch’s infiltrates in both

upper lungs

Central Pneumonia: Note of hazy densities in both perihilar areas

Lumbar Hypertrophic Spur Formation - Lumbosacral APL and Pelvis AP show no

gross evidence of fracture
Note of sclerotic changes at the vertebral end-plates with bony spurs formation
at the anterolateral border of vertebral bodies.