Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
10 topics, 28 min.
12 topics, 28 min.
Wk 2, Case 1 - Practice
Wk 2, Case 1 - Review
4 m.Wk 2, Case 2 - Practice
Wk 2, Case 2 - Review
7 m.Wk 2, Case 3 - Practice
Wk 2, Case 3 - Review
8 m.Wk 2, Case 3 - Supplemental Case
Wk 2, Case 4 - Practice
Wk 2, Case 4 - Review
7 m.Wk 2, Case 5 - Practice
Wk 2, Case 5 - Review
6 m.Wk 2, Case 5 - Supplemental Case
13 topics, 21 min.
Wk 3, Case 1 - Practice
Wk 3, Case 1 - Review
6 m.Wk 3, Case 1 - Supplemental Case
Wk 3, Case 2 - Practice
Wk 3, Case 2 - Review
4 m.Wk 3, Case 2 - Supplemental Case
Wk 3, Case 3 - Practice
Wk 3, Case 3 - Review
6 m.Wk 3, Case 4 - Practice
Wk 3, Case 4 - Review
4 m.Wk 3, Case 4 - Supplemental Case
Wk 3, Case 5 - Practice
Wk 3, Case 5 - Review
5 m.11 topics, 16 min.
11 topics, 19 min.
Interactive Transcript
Report
EXAM: Fluoroscopic enema (water-soluble contrast enema)
INDICATION: 4-day-old male with failure to pass meconium.
TECHNIQUE: Multiple fluoroscopic images were obtained during the retrograde infusion of water-soluble contrast per rectum and into the colon.
FINDINGS:
Fluoroscopic images show contrast filling the rectum and distal colon. The rectum is abnormally narrowed and does not dilate appropriately even on delayed imaging. The caliber of the distal sigmoid colon is larger than the rectum and there is an abrupt rectosigmoid transition. More proximal loops of colon are dilated. Small filling defects are seen in the dilated colon.
IMPRESSIONS:
1. Narrow-caliber rectum, with abrupt transition and abnormal rectosigmoid index, suggestive of Hirschsprung disease. Recommend suction biopsy to further evaluate.
2. Dilated proximal colonic loops, with filling defects likely representing retained meconium.
Case Discussion
Faculty
Brandon P Brown, MD, MA, FAAP
Director of Fetal and Perinatal Imaging
Indiana University School of Medicine
Tags
Pediatrics
Nuclear Medicine
Gastrointestinal (GI)
Fluoroscopy
© 2024 Medality. All Rights Reserved.