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(Radiology. 2000;217:436.)
© RSNA, 2000

Diagnosis Please

Case 32

Bert Lincoln Pear, MD and L. Alan Plunkett, MD

1 From the Department of Diagnostic Imaging, Exempla-St Joseph Hospital, Denver, Colo. Received January 27, 1999; revision requested March 23; final revision received August 6; accepted August 11. Address correspondence to B.L.P., 260 S High St, Denver, CO 80209-2628. (e-mail: PearMD217@pol.net).

Index terms: Diagnosis Please


   HISTORY
TOP
 HISTORY
 
A 54-year-old woman was admitted to the hospital with severe acute abdominal pain suggestive of cholelithiasis. Radiographs of the abdomen (Figure) obtained with the patient in the supine and upright positions and a posteroanterior radiograph of the chest (not shown) had been obtained before her admission. An abdominal sonogram (not shown) was ordered as an immediate examination. When this showed no evidence of cholelithiasis, a contrast material–enhanced computed tomographic scan (not shown) of the abdomen was obtained and was used to confirm the diagnosis.



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  		(a) Anteroposterior abdominal radiograph obtained with the patient in the supine position. (b) Posteroanterior abdominal radiograph obtained with the patient in the upright position.

 


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  		(a) Anteroposterior abdominal radiograph obtained with the patient in the supine position. (b) Posteroanterior abdominal radiograph obtained with the patient in the upright position.

 


   FOOTNOTES
 
E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: January 15, 2001. Answer will appear in the March 2001 issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.





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