Image dscn1088

Last updated (28 October 2003).

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Orientation

This image shows an axial section from a CT scan taken through the upper abdomen. The top of the image corresponds to the patients front. The left of the image corresponds to the patients left hand side.

Description

This image shows a section of a CT scan taken through the upper abdomen. We know it is through the upper abdomen because the liver and spleen are visible.

Intra venous contrast has been given as can be seen from the increased density over the aorta and inferior vena cava, in addition, the liver and spleen have increased density due to the effects of the intravenous contrast. There is no evidence of contrast in the lumen of the stomach, so there is no evidence that oral contrast has been given.

There is a considerable amount of ascitis present. This is best seen around the liver and spleen.

There is a wedge shaped area in the spleen that is not enhancing with the intra-venous contrast, this suggests the presence of a splenic infarct.

The inferior vena cava appears somewhat smaller than usual, in contrast to the size of the aorta. This may be related to the effects of the ascitis which appear to be compressing the liver against the inferior vena cava.

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Adrian P. Ireland