Fluoroscopy

Radiology

Fluoroscopy
medical imaging that shows a continuous X-ray image
X ray cine (x ray movie)
image is transmitted to a monitor so the movement of a body part or of an
instrument or contrast agent (dye) through the body can be seen in detail.

30x/sec
Fill up GI w. Positive(Barium) or
Negative(Air) contrast

Contrast agent
Barium sulfate suspension (Ba) - white
Gastrograffin (I) - white
Ultravist (I) - white
Air - black

Barium sulfate

Barium swallow

Barium swallow

A. Aortic arch
B. Left bronchus
C. Left atrium

1.
History of stroke.
Had frequent
pneumonia.
Had difficulty to
swallow.
Aspiration pneumonia

Calcified bronchus
Aspirated barium
Esophageal perforation
Lung Ca
Barium aspirated into trachea

2
Dysphagia
Chest pain
Regurgitation
Mass, GERD

Esophageal Ca
Esophageal reflux
Achalasia
Hiatus hernia

Answer

Achalasia

Narrow part in esophagus, muscle fails to relax,

leading to dilation to upper part of esophagus

3
Had PTB.
cough, sob after food.

Esophageal ca
Achalasia
Esophageal perforation
Broncho esophageal fistula

Esophageal ca
Achalasia
Esophageal perforation
Broncho esophageal fistula

Answer

Broncho oesophageal fistula

4
dysphagia
LOW, LOA

Esophageal Ca
Esophageal fibrosis / stricture
Vascular ring
Esophageal fistula

Benign: smooth
Malignancy: Irregular, stricture,
Apple core deformity

Answer

Oesophageal Ca

Barium meal
In a barium meal test, x ray images are taken
of the stomach and the beginning
of duodenum

1
epigastric pain
LOW
LOA

Gastric ulcer
Gastric perforation
Gastric Ca
Bezoar
Mass in the stomach,
See defects in the wall

Answer

Gastric carcinoma

2
Epigastric pain

Gastric ulcer
Gastric perforation
Gastric Ca
Bezoar

Answer

Peptic ulcer

Gastric ulcer
Gastric perforation
Gastric Ca
Bezoar
linitis plastica

Small bowel
follow through

1
diarrhea, haematochezia
abdominal pain

Ileal perforation
Skip lesions
Crohns
Intestinal obstruction
Malrotation

Answer

Crohns disease

2
Abd discomfort
LOW

String in lumen of small bowel

Answer

Intestinal ascariasis

3
Child with billous
vomiting
Ileal perforation
Crohns
Intestinal
obstruction
Malrotation

Corkscrew appearance

Answer

Malrotation with midgut volvulus

Barium enema

1
Altered bowel habit
Anemia
Ca colon
Bowel perforation
Ulcerative colitis
Diverticulosis

Answer

Ca colon

2
Recurrent abd
pain

Ca colon
Bowel perforation
Ulcerative colitis
Diverticulosis
Outpouching of mucosa

Answer

Diverticulosis

3
Abd pain
Chronic diarrhoea

Ca colon
Bowel perforation
Ulcerative colitis
Diverticulosis

Answer

Ulcerative colitis

4
chronic constipation
abd distension
Bowel perforation
Ulcerative colitis
Diverticulosis
Hirschsprungs ds

Answer

Hirschsprungs disease