Gas visible in the subcutaneous tissues around proximal MCP of the hallux, and medially around the ankle bones
There is moderate dilatation of the left renal pelvis and left calyces which has been attributed to a previously demonstrated renal calculus
The dense contrast within the left pelvicalyceal system however obscures this left sided calculus.
A surgical defect can be seen in the LEFT medial orbital wall and orbital floor with herniation of orbital fat into the adjacent paranasal sinuses.
Surgical defects were produced to release intra-orbital pressure
AP CXR shows multiple pulmonary nodules of varying sizes.
Large scrotal hernia containing loops of bowel.
Right total hip replacement
"Kidney shaped" gas bubble of distended caecum, with evidence of complete bowel obstruction due to evidence of little gas in rest of lower GI tract
Found in usual location to the left of mid-line
No fluid level visible
Pagets disease of hip
Asymetrical presentation of the disease, as is commonly the case, localising to LEFT femur and LEFT half of the pelvis
Image shows classical picture of Paget's with:
- Scattered steolytic (lucent) regions of bone
- Coarsened trabeculae particularly so on the left femur
- Bony enlargement, particularlt of the left femur and left hemi-pelvis