How to read a CT of the abdomen and pelvis

Discussion:

A few comments about the scan:

  • this is a CT of the Abdomen and Pelvis, Enterography protocol
  • this is a higher quality study than a standard CT. It is performed with a higher radiation dose and larger dose of IV contrast, which helps to evaluate subtle areas of bowel inflammation.
  • the slice thickness is 2.5 mm. This provides an excellent look at the large and small bowel enhancement and vasculature, and also the solid organs.
  • this patient has a good deal of intrabdominal fat, which separates and surrounds structures, helping to see/differentiate better than in a thinner patient.
  • this patient does have hepatic steatosis and a tiny gallstone or cholesterol polyp. The study is otherwise normal.
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