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Report 50

RADIOLOGY REPORT

Examination Date: November 18, 2013 Patient: Robert D. Swift

Date Reported: November 18, 2013 X-ray No. 1320

Physician: Brian M. O’Connor, MD Age: 45

Room No. 513

Hospital No. 430988

EXAMINATION: Gallbladder and GI tract

Gallbladder and GI Series

KUB shows degenerative joint disease in the L4-5 apophyseal joints without significant interval change, and spot film of the right upper quadrant fails to reveal radiopaque biliary calculi. The gallbladder concentrates telepaque and is slightly enlarged, with erect compression spot films failing to show biliary calculi although the degree of concentration of the contrast and difficulty in separating the gallbladder from gas shadows leaves something to be desired. The gallbladder does contract somewhat following the fatty meal stimulus. Because of barium projected upon the gallbladder in part additional erect compression spot films are obtained. These fail to demonstrate calculi but with combination of GI series, the size and position of gallbladder, and the degree of function, it is difficult to exclude small calculus.

Cursory fluroscopy of diaphragms, chest and esophagus is not unusual. No gastric retention is noted and gastric emptying begins readily. The stomach is flexible without evidence of neoplasm or crater. No hiatal hernias can be demonstrated; the duodenal bulb is not deformed and is without evidence of crater. Mucosal folds are slightly prominent in the bulb, but the duodenal loop appears normal and the small bowel mucosal pattern is not unusual.

Impression

Gallbladder slightly enlarged. Although the gallbladder concentrates the contrast moderately well, it is difficult under the circumstances (see above) to exclude small calculi. Report of the study at another time when the study can be done as an isolated procedure might be warranted. Negative gi series. No interval change in the GI of significance since the study of 1975.

Moira K O’Brien MD

student’s initials

D: 11-18 -20XX

T: current date