Saturday, April 23, 2011

case write-up radiology 3

                                              
Identification Data
Name : Rajamah a/p komara
Age     :  63 years old
Race   :  Indian
Date   :  8 February 2011
X-Ray No : 1209
Type of Imaging : Ultrasound study of abdomen
Positioning : supine
Clinical History
Patient is a known case of chronic liver disease with oesophageal varices diagnosed 2 years ago. Ultrasound of abdomen was done for yearly monitoring of her condition. She does not have any sign and symptoms suggesting portal hypertension.
Procedure
Patient lying on supine position,longitudinal scans from epigastrium or left subcostal region across to right subcostal region.Transverse scans,subcostally to visualise the whole liver.

Findings
Liver is irregular in surface with coarse echotexture.No focal lesion noted.No gallstones noted.Both kidney are normal in echogenicity. No stones noted.Spleen is enlarged.

Impression : Liver cirrhosis with splenomegaly

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