EXAM: Abdominal radiograph (X-ray)
INDICATION: 4-week-old low birth weight female, born prematurely, with abdominal distention.
TECHNIQUE: Frontal abdominal radiograph was obtained in supine position.
FINDINGS:
There are extensive linear lucencies along the bowel wall seen in the right and left hemiabdomen here. The bowel gas pattern is nonobstructive. A suction catheter terminates over the left upper quadrant of the abdomen, likely within the gastric body. There is no portal venous gas. Supine positioning limits evaluation for free intraperitoneal air.
IMPRESSIONS:
1. Extensive pneumatosis intestinalis, without visualized portal venous gas.
2. Recommend follow-up radiograph in left lateral decubitus position, to further evaluate for small volume free intraperitoneal air.
