CT of Abdomen and Pelvis Patient: 17 year old male LABELING BY GIRI SURA (JCESOM CLASS 2012)

91
CT of Abdomen and Pelvis Patient: 17 year old male LABELING BY GIRI SURA (JCESOM CLASS 2012)

Transcript of CT of Abdomen and Pelvis Patient: 17 year old male LABELING BY GIRI SURA (JCESOM CLASS 2012)

CT of Abdomen and Pelvis

Patient: 17 year old male

LABELING BY GIRI SURA (JCESOM CLASS 2012)

Orientation to Axial Series: Scout Image

Splenic flexure of colon

Hepaticflexure ofcolon

Transversecolon

AcetabulumPubic symphysis

Stomach air

Esophagus

Vertebral Canal

Aorta

Right atrium

Atrioventricular sulcuswith R coronary A

Left ventricle

Right ventricleSternum

Azygous vein

Interventricular septum

Esophagus

Aorta

Sternum

Azygous vein

Left ventricle

Right ventricle

Interventricular septum

Esophagus

Aorta

Sternum

Azygous vein

Left ventricle

Right ventricle

Interventricular septum

Esophagus

Aorta

Sternum

Azygous veinHemiazygous vein

Left ventricle

Right ventricle

Interventricular septum

Aorta

Azygous vein

Inferior vena cava

Intercostal muscles

Ribs

Esophagus

Hemiazygous vein

Sternum

Left ventricle

Right ventricle

Interventricular septum

Aorta

Azygous vein

Inferior vena cava

Intercostal muscles

Ribs

Esophagus

Hemiazygous vein

Left ventricle

Right ventricleSternum

Aorta

Azygous vein

Inferior vena cava

Latissimus dorsi

Ribs

Esophagus

Hemiazygous vein

Left ventricle

Right ventricleSternum

Aorta

Azygous vein

Inferior vena cava

Ribs

Esophagus

Hemiazygous vein

Left ventricle

Right ventricle

Latissimus dorsi

Aorta

Azygous vein

Inferior vena cava

Esophagus

Hemiazygous vein

Left ventricle

Right ventricle

Latissimus dorsi

Aorta

Azygous vein

Inferior vena cava

Esophagus

Hemiazygous vein

Latissimus dorsi

Aorta

Azygous vein

Inferior vena cava

Esophagus

Hemiazygous vein

Latissimus dorsi

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Esophagus

Hemiazygous vein

Liver

Latissimus dorsi

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Esophagus

Hemiazygous vein

Liver

Latissimus dorsi

Hepatic vein

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Esophagus

Hemiazygous vein

Liver

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Stomach

Hemiazygous vein

Liver

Spleen

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Hemiazygous vein

Liver

Rugae of stomachSpleen

Stomach with air and barium

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Hemiazygous vein

Liver

Spleen

Stomach with air and barium

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Liver

Spleen

Stomach with air and barium

Inferior vena cavaIntra hepatic

Liver

Phrenico-mediastinal groove

Spleen

Stomach with air and barium

Aorta

Azygous vein

Inferior vena cavaIntra hepatic Rugae of stomach

Liver

Spleen

Right renal gland

Stomach with air and barium

Left crus of diaphragm

Aorta

Azygous vein

Inferior vena cavaIntra hepatic

Liver

SpleenRugae of stomach

Stomach with air and barium

Left crus of diaphragm

Aorta

Right renal gland

Left renal gland

Inferior vena cavaIntra hepatic

Liver

SpleenRugae of stomach

Stomach with air and barium

Right crus of diaphragm

Left crus of diaphragm

Aorta

Left renal gland

Right renal gland

Right crus of diaphragm

Left crus of diaphragm

Spleen

Stomach with air and barium

Portal veinInferior vena cava Upper pole of

L kidney

Celiac artery

Aorta

Liver

Right crus of diaphragm

Left crus of diaphragm

Rugae of stomach

Stomach with air and barium

Portal veinInferior vena cava Upper pole of

L kidneyUpper pole of R kidney

Spleen

Celia artery

Aorta

Liver

Rugae of stomach

Stomach with air and barium

Portal vein

Inferior vena cava

L kidneyR kidney

Spleen

Celia artery

Aorta

Liver

Rugae of stomach

Stomach with air and barium

Portal vein

Inferior vena cava L kidneyR kidney

Spleen

Superior mesentric artery

Aorta

Right crus of diaphragm

Left crus of diaphragm

Liver

Stomach with air and barium

Portal vein

Inferior vena cava L kidneyR kidney

Spleen

Aorta

Splenic veinTail of pancreas

Superior mesentric artery

Right crus of diaphragm

Left crus of diaphragm

Liver

Stomach with air and barium

Portal vein

Inferior vena cava

L kidneyR kidney

Spleen

Aorta

Splenic veinTail of pancreas

Superior mesentric artery

L renal vein

Head of pancreas

Right crus of diaphragm

Liver

Stomach with air and barium

Portal vein

Inferior vena cava

L kidneyR kidney

Spleen

Aorta

Splenic veinSplenic Flexure

Superior mesentric artery

L renal vein

Head of pancreas

Right crus of diaphragm

Left crus of diaphragm

Stomach with air and barium

Inferior vena cava

L kidneyR kidney

Spleen

Aorta

Splenic veinSplenic flexure of colon

Superior mesentric artery

L renal vein

Head of pancreas

Superior mesentric vein

R renal vein

Descending Duodenum

Uncinate process

Stomach with air and barium

Inferior vena cava

L kidneyR kidney

Spleen

Aorta

Splenic veinSplenic flexure of colon

Superior mesentric artery

L renal vein

Head of pancreas

Superior mesentric vein

R renal vein

Descending Duodenum

Liver

Superior mesentric artery

Gall bladder

Inferior vena cava

L kidneyR kidney

Aorta

LiverSplenic flexure of colon

SpleenGall bladder

Inferior vena cava

L kidneyR kidney

Aorta

LiverSuperior mesentric artery

Splenic flexure of colon

Gall bladder

Stomach

Small intestine

Descending colon

L kidney pelvis

Inferior vena cava

L kidneyR kidney

Aorta

LiverSuperior mesentric artery

Gall bladder

L kidney pelvis

Inferior vena cava

L kidneyR kidney

Aorta

LiverSuperior mesentric artery

Splenic Flexure of Colon

Gall bladder

L kidney pelvis

Inferior vena cava

L kidneyR kidney

Aorta

Superior mesentric artery

Gall bladder

Descendingcolon

Inferior vena cava

L kidneyR kidney

Aorta

Superior mesentric artery

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Gall bladder

Descendingcolon

Inferior vena cava

L kidneyR kidney

Aorta

Superior mesentric artery

External oblique m

Internal oblique m

Transversus abdominis m

L psoas major m

Descendingcolon

R psoas major m L psoas major m

Inferior vena cava

L kidneyR kidney

Aorta

External oblique m

Internal oblique m

Transversus abdominis m

Descendingcolon

R psoas major m L psoas major m

Inferior vena cava

L kidneyR kidney

Aorta

Transverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Inferior vena cava

Descendingcolon

L kidneyR kidney

Aorta

inferior mesentric arteryTransverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Inferior vena cava Descending

colon

L kidneyR kidney

Aorta

inferior mesentric arteryTransverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Inferior vena cava Descending

colon

L kidneyR kidney

Aorta

inferior mesentric arteryTransverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Inferior vena cava

L kidneyR kidney

Aorta

inferior mesentric arteryTransverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Inferior vena cava

L kidneyR kidney

Aorta

inferior mesentric arteryTransverse colon

External oblique m

Internal oblique m

Transversus abdominis m

R psoas major m L psoas major mBifurcationof Aorta

Inferior vena cava

R kidney

inferior mesentric arteryTransverse colon

External oblique mInternal oblique m

Transversus abdominis m

R psoas major m L psoas major m

Rectus abdominis muscle

Descendingcolon

Bifurcationof Aorta

Inferior vena cava

R kidney

inferior mesentric arteryTransverse colon

R psoas major m L psoas major m

Ascendingcolon

Right Common Iliac artery

Left Common Iliac artery

Inferior vena cava

External oblique mInternal oblique m

Transversus abdominis m

Rectus abdominis muscle

Descendingcolon

Transverse colon

R psoas major m L psoas major m

Right Common Iliac artery

Left Common Iliac artery

Inferior vena cava

External oblique mInternal oblique m

Transversus abdominis m

Rectus abdominis muscle

Descendingcolon

R psoas major m L psoas major m

Inferior vena cava

Right Common Iliac artery

Left Common Iliac artery

External oblique mInternal oblique m

Transversus abdominis m

Descendingcolon

Small intestineRectus abdominis muscle

R psoas major m L psoas major m

Right Common Iliac artery

Left Common Iliac artery

Inferior vena cava bifucation

External oblique mInternal oblique m

Transversus abdominis m

Descendingcolon

Small intestine jejunum

Rectus abdominis muscle

R psoas major m L psoas major m

Right Common Iliac artery

Left Common Iliac artery

Inferior vena cava bifucation

External oblique mInternal oblique m

Transversus abdominis m

Descendingcolon

Small intestine jejunum

Rectus abdominis muscle

R psoas major m L psoas major m

Right common iliac artery

Left common iliac artery

Inferior vena cava bifucation

External oblique mInternal oblique m

Transversus abdominis m

Descendingcolon

Small intestine jejunum

Rectus abdominis muscle

R psoas major m L psoas major m

Right common iliac artery

Left common iliac artery

Inferior vena cava bifucation

External oblique mInternal oblique m

Transversus abdominis m

Descendingcolon

Small intestine jejunum

Rectus abdominis muscle

Descendingcolon

Ascendingcolon

Iliacus muscle

Right common iliac artery

Left common iliac artery

R psoas major muscle L psoas major muscle

Inferior vena cava bifucation

Small intestine jejunum

Rectus abdominis muscle

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Right common iliac artery

Left common iliac artery

R psoas major muscle

Small intestineJejunum

L psoas major muscle

Left common iliac vein

Right common iliac vein

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Right common iliac artery

Left common iliac artery

R psoas major muscle

Small intestine jejunum

L psoas major muscle

Left common iliac vein

Right common iliac vein

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Right common iliac artery

Left common iliac artery

R psoas major muscle

Small intestine

L psoas major muscle

Left common iliac vein

Right common iliac vein

S1

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Right common iliac artery

Left common iliac artery

R psoas major muscle

Small intestine

L psoas major muscle

Left common iliac vein

Right common iliac vein

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Right external iliac artery

Left common iliac artery

Small intestine

L psoas major muscle

Left common iliac vein

Right common iliac vein

Right internal iliac artery

Descendingcolon

Rectus abdominis muscle

Ascendingcolon

Iliacus muscle

Left common iliac artery

Small intestine

L psoas major muscle

Left common iliac vein

Right external iliac arteryRight internal iliac artery

Sacroiliac joint

Descendingcolon

Rectus abdominis muscle

Cecum

Iliacus muscle

Left external iliac artery

Small intestine

Left common iliac vein

Left internal iliac artery

Right external iliac arteryRight internal iliac artery

Sacroiliac joint

Ileocecal junction

Descendingcolon

Rectus abdominis muscle

Iliacus muscle

Left external iliac artery

Sigmoid colon

Left common iliac vein

Left internal iliac artery

Right external iliac arteryRight internal iliac artery

Sacroiliac jointAnterior sacralforamina

Ileocecal junction

Cecum

Ileum

Descendingcolon

Rectus abdominis muscle

Left external iliac artery

Left internal iliac artery

Right external iliac artery

Right internal iliac artery

Sacroiliac joint

Anterior sacralforamina

Sigmoid colonIleocecal junction

Cecum

Ileum

Rectus abdominis muscle

Ascendingcolon

Right external iliac artery

Right internal iliac artery

Sacroiliac joint

Anterior sacralforamina

Descendingcolon

Left external iliac artery

Left internal iliac artery

Sigmoid colon

Ileum

Rectus abdominis muscle

Inferior epigastric a and v

Descendingcolon

Left external iliac artery

Left internal iliac artery

Ascendingcolon

Right external iliac artery

Right internal iliac artery

Sacroiliac joint

Ileum

Sacroiliac joint

Left external iliac artery

Right external iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Sigmoid colon

Cecum

Ileum

Sacroiliac joint

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Gluteus maximus m

Gluteus minimus mGluteus medius m

Cecum

Ileum

Sacroiliac joint

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Gluteus maximus m

Pyriformis m

Gluteus minimus mGluteus medius m

Cecum

Ileum

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Gluteus maximus m

Pyriformis m

Gluteus minimus mGluteus medius m

Cecum

Ileum

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Gluteus maximus m

Pyriformis m

Gluteus minimus mGluteus medius m

Ileum

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Gluteus maximus m

Pyriformis m

Gluteus minimus mGluteus medius m

Ileum

Left external iliac arteryRight external

iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

RectumGluteus maximus m

Pyriformis m

Gluteus minimus mGluteus medius m

Left external iliac artery

Right external iliac artery

Rectus abdominis muscle

Inferior epigastric a and v

Hiatus sacralis

RectumGluteus maximus m

Sigmoid colon

Left external iliac arteryRight external

iliac artery

Hiatus sacralis

RectumGluteus maximus m

Iliopsoas m

Sigmoid colon

Left external iliac arteryRight external

iliac artery

Hiatus sacralis

Rectum

Iliopsoas m

Left external iliac arteryRight external

iliac artery

Hiatus sacralis

Rectum

Urinary bladder

Seminal vesicle

Iliopsoas m

Left external iliac arteryRight external

iliac artery

Hiatus sacralis

Rectum

Seminal vesicle

Iliopsoas mUrinary bladder

Left external iliac arteryRight external

iliac arteryIliopsoas m

Rectum

Acetabulum

Head ofFemur

Urinary bladder

Left femoral artery

Right femoral artery

PectineusRight femoral vein

Left femoral vein

Coccyx

Left femoral N

Iliopsoas m

Rectum

Urinary bladder

Acetabulum

Head ofFemur

Right femoral artery

PectineusRight femoral vein

Coccyx

Left femoral arteryLeft femoral vein

Left femoral N

Iliopsoas mUrinary bladder

Acetabulum

Head ofFemur

Coccyx

Tensor fasciae lata

Iliopsoas m

Vastus lateralis m

Obturator internus m

Gluteus maximus m

Right femoral artery Pectineus mRight femoral vein

Sartorius

Rectus femoris

Left femoral N

Urinary bladder

Head ofFemur

Coccyx

Tensor fasciae lata

Iliopsoas m

Vastus lateralis m

Obturator internus mGluteus

maximus m

Right femoral artery Pectineus mRight femoral vein

Sartorius

Rectus femoris

Gemelli and tendon of obturator internus

Left femoral N

Urinary bladderProstate

Greater trochanter of femur

Great sephanous v

Tensor fasciae lata

Iliopsoas m

Vastus lateralis m

Obturator internus m

Right femoral artery Pectineus mRight femoral vein

Sartorius

Rectus femoris

Gluteus maximus m

Ischiorectal fossa

Spermatic Card

Prostate

Penis

Greater trochanter of femur

Tensor fasciae lata

Iliopsoas m

Vastus lateralis m

Obturator internus m

Right femoral artery Pectineus mRight femoral vein

Sartorius

Rectus femoris

Left femoral N

Gluteus maximus m

Ischiorectal fossa

Prostate

Penis

Greater trochanter of femur

Great sephanous v

Right femoral artery Pectineus mRight femoral vein

Sartorius

Rectus femorisTensor fasciae lata Iliopsoas m

Vastus lateralis m

Obturator internus m

Obturator externus m

Gluteus maximus m

Ischiorectal fossa

Spermatic Card

Prostate

Penis

Pectineus m

Sartorius

Rectus femorisTensor fasciae lata Iliopsoas m

Vastus medialis m

Vastus lateralis m

Obturator internus m

Obturator externus m

Great sephanous vLeft femoral vein

Left femoral artery

Gluteus maximus m

Ischiorectal fossa

Spermatic Card

Femur

Pectineus m

Sartorius

Rectus femorisTensor fasciae lata Iliopsoas m

Vastus medialis m

Vastus lateralis m

Obturator internus m

Obturator externus m

Great sephanous vLeft femoral vein

Left femoral artery

Gluteus maximus m

Ischiorectal fossa

Spermatic Card

Femur