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Writer's pictureNavigating Radiology

CT Abdomen UNKNOWN Case Competition, Announcements


Answer to follow. Put your answer below. First person to get the case correct in full will win a free 1 month of subscription (either comment here, or e-mail directly).

Other Announcements:

  1. Website Overhaul - We are working on completely overhauling the website and UI. Members will be able to track progress, earn CME points, and navigate all the material more easily etc. We will be introducing more videos, including video answers to cases! More to follow.

  2. Collaborations and New Content - MRI Brain and Knee MRI Courses are in the works with world Neuro and MSK Experts. As we overhaul the UI, we will be introducing more diverse content, including these and completing the remaining topics in Body MRI and ER/CT. As always, please reach out if you have any requests for content.

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Umbilical herniation with 30% loss of domain with small bowel content, terminal ileum shows calcification in efferent loop, which must be correlated with histopathologic studies. Right direct inguinal herniation of the urinary bladder, with wall thickening and mild enchancement. Calcification of the lateral horn of left adrenal gland. Peritoneal loose body Hypertrophy of prostate with calcifications.

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Incarcerated Umbilical hernia (mixte component : fat + small bowel) with bilateral direct inguinal hernia (fatty component)

Calcification close to the caecum : may be a peritoneal loose body

Mild hepatic steatosis

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closed loop bowel obstuction with in the abdominal wall hernia. small bowel with gas-fluid lever in the hernia with out dilatation of small bowel. some degree of low kontrast enhancement of S.B in hernia and low grade mesentry edem in hernia.


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Large defect in anterior abdominal wall in the umbilical region of approx defect size 5.3cm with herniation of small bowel loops along with mesentery. Calcification noted adjacent to herniated bowel loops, possiblity of calcified epiploic appendagitis. No obvious signs of obstruction or strangulation noted.

Irregular assymetric wall thickening noted along anterior urinary bladder wall on the right side measuring approximately 11 mm in thickness ? cystitis ?? neoplastic lesion.

Submucosal fat deposition noted in proximal ascending colon likely secondary to chronic inflammatory pathology.

Right sided inguinal hernia with fat as its content.

Left focal adrenal gland calcification.

Possiblity of focal fat deposition in right lobe of liver.

Degenerative changes in lumbar spine with endplate sclerosis and osteophytes at L1-L2 levels.


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Large left side paraumbilical hernia containing small bowel loops, with no signs of obstruction and strangulation. There is presence of calcified epiploic appendigitis along the wall of herniated bowel loops.

Right direct inguinal hernia with bladder wall as it’s content.

Transient hepatic attenuation difference present probably physiological.

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