Radiology: How to Read a CT Abdomen & Pelvis (My search pattern)

[@denissarajlic2242]

as a medical student, I can honestly say I've learned more about reading abdomen ct in this video then in a whole semester of college lectures. My college really needs to update/improve their teaching techniques... Thank you Doctor...

[@winniebeh5682]

Llkkkl ll lllalq❤la ll al lol 🥰🥰🥰🥰🥰🍟🍟🧆🍟👘🫦🧔‍♂️🦋🦋🐌🐱🐌🐬💍😊🦋😊

[@zhilothebest]

This video is amazing! I would love to see one for CT/A Chest, and CT/A/P Head!

[@b.bendova1767]

I first saw it in my first grade 4 years ago and now I have decided to go into radiology. Your old videos with the old intro mean a lot to me. It was my first contact with radiology.

[@kevinjunus8950]

Hey man, as a prelim going into radiology next year, I came across your channel and just wanted to say your stuff is great. Keep it up!!

[@DrCellini]

thanks man! Best of luck to you....you're almost there! haha

[@kellygupta9155]

I’m a CT tech, thank you for making these interesting and informative videos. I just found you channel and I love it!

[@DrCellini]

thx so much!!

[@Bulldog75stp]

I'm a new nurse on a surgical unit. Absolutely loved this video. So informative.

[@ericamayd1929]

As someone who works in MRI, if you want a video idea, you should go over the difference between a CT and MRI lol a lot of people don’t get it!

[@sillie171]

everyday in CT ... "no you don't have to take anything out of your pockets. we aren't scanning there" pt proceeding to emptying EVERYTHING including loose change out of pockets "are you sure? ah well, you know, just incase" me: "just incase what?? physics ceases to exist and my CT scanner that runs off xrays magically turns into a magnet?? JUST INCASE WHAT?!?" 😠😤😮‍💨 all that to day yes... I wish more people understood the differences between CT and MRI because lord knows patients rarely listen to the techs that are licensed and work with it every day

[@PUREPARKOUR688]

As a medical student I'd love to see how to read a chest CT! Great video as always!

[@aasldkfja]

I love this I wish you had a thousand more of these kinds of videos so I could just playlist through all of them! They’re fascinating!

[@tawneeens436]

James Pierce i know right, they’re awesome!

[@GRACE-nz1kb]

Thank you so much for this video Dr ..I am currently going back to "big school" and studying pre nursing as a mature student. My Grandmother is currently in hospital after having a OGD and they have her booked for a CT scan of the lower abdomen and pelvis. This video has not only educated me but also giving me peace of mind.

[@shanelocky6004]

This is very comforting.. I’ve been dealing with some sort of pelvic pain the past month and it actually got so bad that I went to the ER and they did a blood panel, & CT scan.. They say everything is normal, & because I wasn’t sure about exactly what a CT scan of the pelvic consisted of and I still have the pain I thought maybe they’d missed something but seeing this assures me that indeed they checked everything and as far as my organs they saw and checked Thoroughly.. now I believe it’s a nerve instead of thinking it’s my prostate.. Also I’ve noticed that I’m not the only one that suffers from this pain.. apparently it’s common for men and women to suffer from pelvic pain.. I usually have a very high tolerance for pain but this pain goes from mild to severe especially while sitting..

[@elenadankova4659]

Did you ever found out what cause your pain? According to your words, I have very very similar pain, just came back home from ER where they found nothing.. I still have sharp pain, and they say it`s unknown reason! ugh.. next stop is my urologist..

[@novembers]

Hi: First; I am in SHOCK. I NEVER knew that a CT Abdomen & Pelvis scan showed many different parts of the body! WOW!!! I have had many scans but never understood exactly what was being scanned. Gee ... You video was very interesting. I will now go back to the reports of my previous scans to "see what I can see." Thanks.

[@thepuglady3931]

Very helpful!! I don’t have any medical training but I’ve had 15-20 MRIs and surgeries over the years (since a major car accident). I have pelvic and lumbar MRIs scheduled next week so your video helped me understand what all can be seen. Since my doctors haven’t identified the source of my pain, I’m happy to know so many things will be look at. Thanks!

[@tashagarland9163]

This is a great video. I’m an ultrasound tech and often have to “read” CTs to properly adjust my scanning protocol to correlate my study with a previous CT finding. This is a great way to breakdown the abdominal structures by system. Thank you!

[@suziemiddleton0007]

I had my very first CT with contrast today. I got anxious and felt like I couldn't breathe properly. It was a scary experience. Your video is so informative, i think watching it prior would have made me relax more. Thank you for sharing you make Amazing videos. 👍✅💯👏

[@gaibriestephen5298]

ER Doc here, this is awesome. Thanks so much.

[@kitthammes]

Your a role model for future upcoming radiologists. Will share this with my bf who is a third year MBBS student in Manila. Thanks for sharing. Happy Holidays 🎄 Christmas.

[@DrCellini]

Thank you so much!

[@17art3an]

Patient is not in isocenter of the scanner. You can see it on the skin, on the back. To get the best image, please position patient in the middle.

[@beautifulbeautiful6363]

Found this while reviewing for my radiology exam. soooo good, need more of these

[@xCoolUsername]

Dr. Cellini, Thank you so much for this video! This is the best look into radiology that I've personally seen yet. Please do a chest x-ray video!

[@mattyd337]

Videos of how you study would be great!

[@DavidMorseMusic]

As a patient who went through several pelvic surgeries, one being emergent, and numerous pelvic CT scans, my surgeon basically taught me how to read my own CT scans. Super fascinating! FYI... Self diagnosing toxic megacolon is not fun, especially when the radiologist agrees with you.

[@zachariahweisman6963]

when you switched to the bone windows i was actually blown away

[@maisaalwan1156]

I have suggested this kind of video idea on your instagram , so glad to see this video , helpful , simple, worth watching , looking forward more of this educational videos 👌🏻👏🏽👏🏽

[@DrCellini]

glad you liked it!

[@immane75]

@@DrCellini more search patterns

[@adhavanprithvi9249]

Thank you so much for this amazing video ! Please do share your search patterns for other studies as well

[@cmanfernandez]

I’m a nurse trained in American standards but practicing in the UK now, your videos are really helpful since I’m managing surgical patients now. Hopefully, you can do more videos like these of patients with lots of unusual pathology/ Co-morbidities. Thank you 😇🙏🏻

[@joykunath4528]

WEE! What a ride! I may watch this and show it to my nurse sibs and pharm bf. Thanks so much. I have looked a few on comp at work but had no "tour guide" so that was super fun!

[@Robespierre-lI]

OKay, I'm coming back to the video that originally brought me to your channel: this one. I'm an art and film historian and professor. When I teach my undergraduate course in the history of photography, I always make a point of including a brief history of radiographs and later medical imaging innovations. However, I never really grappled with how diagnostic radiologists read the images. (It doesn't help that my knowledge of human anatomy is limited.) You demonstration of your process helped a lot. It reminds me quite a bit of the way reconnaissance photographers would search aerial photographs taken over Germany in WWII or, later, from spy planes over Soviet sites. Methodical. Identifying known features and looking for visible changes or abberations, often subtle. Then, interpreting the significance or potential "meanings" of the findings. If you don't know the backstory behind the invention of radiography itself, it is an amusing story. I recommend you look it up. There's also the subject couple decades of very optimistic views (and pseudomedicine) that circled around radioactivity, but maybe former med schools all know that little bit of (horrifying) medical history. I remember seeing an ad from the 1890s or early 1900s which was advertising using a radiation device as a "personal mens' product." Some poor guys were nuking their balls, dude, thinking it would help them perform. Oops. Anyways, thanks for the video. It is interesting to see that radiologists use similar tools to us, albeit with a completely different knowledge foundation and towards completely different goals.

[@Dueville7777]

There is nothing more comforting than watching a Doctor go over your CT scan, looking for a possible life threatening anomaly. With his feet up on the desk.

[@severnsevern580]

Very great video. I has a number of CT and MRI scans. Good to know how radiologists work on the images. Patients usually do not have a chance to meet the radiologists.

[@vcash1112]

what does it mean when exactly when Aortic and pelvic atherosclerotic plaque and calcification is present on the report ? Can a request be made for calcium score from a CT ABDOMEN AND PELVIS WITH CONTRAST?

[@chaz6399]

Your comment is interesting for me. I had a abdominal CT scan done a few years ago and I requested the dataset on CD. The disk came with the software (MS Windows compatible) needed to read and manipulate the images, so I was able to view everything shown in this video. The radiologist's report did not mention it, but upon viewing the images myself it was obvious that I had some significant calcification in my abdominal aorta and a small amount in each of my common iliac arteries (in the pelvic area). I've often wondered how bad the calcification would have to be for it to be noted on the report. There's just no way the radiologist didn't see it. Even if it's not pathologic, it seems they should note it as an "incidental" finding, but then, what do I know? Anyway, I'm curious if the radiologist noted yours in the report or if you learned about it some other way. As to your question about calcium score, I can tell you the following: In addition to the abdominal CT, I've had multiple calcium scores and I have the datasets on those as well. It's been a while since I looked at them but as I recall, they have something like 50 or more "slices" of the heart; whereas the abdominal CT only has a few slices of the bottom of the heart - maybe the bottom 1 cm of it. Anyway, there would be no way to compute CAC score from so few slices. In fact, none of the plaques in my coronary arteries (LAD and RCA) even showed up in the abdominal CT. Bottom line, given that these things (CT scans) are standardized, I suspect it would be very unusual for your ab ct to have enough slices of heart to compute CAC. PS: by abdominal CT scan, what I really meant was "abdominal AND pelvic" CT scan. Both regions were done in the same scan.

[@coveringgrape5251]

Hey I'm a junior rad resident and found this super helpful - mind sharing your search patterns for other common scans (chest, noncon ctb, stroke studies)? Appreciate this nonetheless

[@flightdeckmaster]

What an amazing Dr you are, subscribed to your channel!! I got my test done, will to read through the report.

[@After_this_He_will_return]

If I have ascites, and doctors did a CT of my chest, pelvis and abdomen, (one with contrast, and one without), but they say they didn't find anything, does this mean they are hiding something from me? Ascites is caused by one of the following: liver scirhossis, infection, cancer, kidney failure, or congestive heart failure. My lab results indicated both infection, liver disease, and cancer, but they say "all tests are normal." Why would they lie to me?

[@wilkbor]

Thanks for the video....Would a CT scan pick up an ulcer?

[@caracorson2709]

Wow that is amazing! There is so much to know in the body. Just to see images of all the bones and organs is really awesome! I cant imagine how complicated it gets if you are looking at an unhealthy person. Thanks for that amazing view!

[@MrHuddo]

Great video! Would've been awesome if you added what an abnormal finding would look like with the mentioned anatomy. For example. when you say 'yeah the bowel's look okay', if you could add what pathological bowel would look like i.e. 'sometimes you see the bowel wall thickened as a sign of XYZ', I would really appreciate it for future videos. Regardless I'm subscribing right now

[@glenyswalker9295]

WOW! it is good to see how things are studied and how this amazing inventition helps us

[@starstruckkk7328]

Whats the difference between the Radiologist and a sonographer/Ultrasound tech? Besides being a doctor. Do you ever work with ultrasound techs or do hospitals have the radiologist do the job? Why do ultrasound techs exist if Radiologists have more education?

[@famousfinalscene]

If a mass is present why would the CT say no acute findings?

[@hohchenyou8255]

Thanks ! It helps a lots for beginner like me

[@BoredT-Rex]

Is the axial view inverted? I see you mentioning the liver and gallbladder on the left side. And the spleen on the right. I'm following the pointer.

[@amanizindani5773]

Can you do more pathology ct videos

[@f12025]

Hello Doctor, how do you diagnose intestinal tuberculosis in CT Abdomen..

[@WayneL-gh6hd]

This method is really extremely useful, especially accompanied with various "signs" in abdominal CT I learned from the textbooks. I hope there could be a video talking about how to differentiate between benign and malignant lesion under CT scan. That's the question I am asked by the patients most. Thank you so much

[@fennarademaker2573]

Starting my radiology/nuclear medicine rotation in a couple weeks, so this video was very useful!

[@quazar1498]

I’m confused my cat scan took literally two minutes 👁👁how? Lol they told me to breathe in hold then breathe out and it was done

[@amanizindani5773]

Can you also do cta coronary artery study

[@jjbg7640]

Do I need iodine contrast for ct scan even if I'm allergic

[@suneetpatel94]

Thanks for your amazing videos Dr. Cellini ! As an aspiring radiologist, I love 'em! :) I have a question: How much time does a radiologist spend reading one Abdo Pelvis CT, on an average, in practice?

[@amanizindani5773]

Please keep these videos coming!!!

[@zaidkifah6452]

Your videos ara amazing 🌷 P.S Do more of these videos please!

[@TheRadiologicTechnologist]

Nice job doc!

[@patrickday6822]

I love these videos and the unboxing IR equipment!

[@ScorpioMystery97]

You are one gorgeous doctor lol l think i would be seeing you everyday!

[@Kate-Taylor]

Awesome video to watch as a Sonographer! thank you!

[@paulac1762]

What about Hernias ?? brilliant vid x

[@samah3378]

Thank youuuu (i am first year resident in algeria)

[@edmalts]

Wow. I just came out from the office. Had a ct scan done, I hope I'm all good.

[@GRIM_MOD]

How did it go you okay?

[@GRIM_MOD]

I got one also came clear just worried about the radiation but they said not to it’s very low

[@johncarlos5613]

You Ganasta Doc ..Drive by shooten. I like your approach . Sat for my CT boards last March ,,getting ready to travel CT ,

[@Destiny_detroitdoc]

So sorry, I have another question! So I had an abdominal ultrasound done on me because I was feeling fullness in my upper left quadrant. As a 2nd year med student, I thought it was my spleen and that's not good. Great thing the ab ultrasound was negative, and the discomfort eventually went away, but how can a radiologist tell if my spleen is the normal size. do you have some sort of measurement tool built in or can you eyeball it? Thank you for answering!

[@tailorforeman7082]

I work in radiology as their facilitator and whew I never understand how they do it. All I’ve gathered so far is what is means to be “unremarkable”

[@ragemenace]

Amazing! If you would make a video on CT Brain also that would be great!

[@jazibjb8864]

Why we call left side of CT scan and when we read then we call it right side why?

[@those12]

Can a ct scan detect colon cancer?

[@lauriethomasmd3760]

Is there a general rule of thumb as to when to order a study with contrast? and when not? (I mean just the imaging requirements, not cases of contrast allergy, elevated creatinine, or other contraindications.)

[@nywvblue]

I'm going for a scan tomorrow and am concerned that my issue is too subtle to show up. An ovary is fused to the bowel after past surgeries and occasionally wreaks havoc by trapping fluid in scar tissue. All is quiet now (of course) but 3 weeks ago (and the whole month prior) I was in agony. Why can't scans be done when the crisis is active!! What a waste of everyone's time.

Mis felicitaciones con el canal.

[@SongwriterProducerCrystalSHill]

Osseous Structures: Post surgical changes spanning T11-L1.CT Abdomen/Pelvis w/ IV Contrast Only) GU: Urinary bladder is unremarkable. Uterus is not visualized consistent with surgical absence. Small left ovarian cyst measuring up to 2.7 x 2.3 cm. Patient Age at Exam 43 years

[@msyang7818]

Excellent video! But what about the positions of ascending and descending colon though? Are they reversed on this patient?

[@beans9298]

Love your videos. The human body is so fascinating

[@sherrydawson6253]

Wow thats alot ! What a education! I asked before. Why did radiologists QUIT measuring kidney stones? Even large ones they just say large. Yrs ago they measured each.

[@sharonvisini5531]

Have been having GI issues. Went to ER and one Radiologist said they saw fibroids but the attending ER doc said he wanted another opinion. My GI specialist has a different take. It is not an exact science , is it. So what to patients do when they can't speak to the radiologist personally??!! Not a good system.

[@cjm38]

Can you see esophageal adenocarcinoma with an abdominal CT with contrast?

[@sarvejanasukhinobavunthu712]

Great I didn't knew that we should read with legs stretched on the table

[@ozzielinkin]

wow , what great detail the images provide

[@mahso11]

Hi, when do we use CT angio with contrast? Do we use it for detecting blood source in a digestive hemorrhage?

[@Sir-Reborn]

Do you not typically scan the biliary tree or pancreas? I don't think you mentioned them Also, I'm curious, do you find a significant variance in size of pancreas? Sometimes I find they're abnormally small, and no mention was really given to its size (for example in a case study).

[@codyhimes]

How good are these scans at detecting masses/cancer in colon?

[@alikh4649]

I wish you can make a video like this but for specific pathologies ...

[@LVH100]

I just got a ct scan for abdominal and pelvis and now afraid of risk factors of cancer. 😞

[@jaredtoney3417]

can you do a video on how to read a chest xray

[@RussellD11]

In this exact type of scan, would it be possible, or easy to see a "Nonischemic priapism secondary to development of AVF " if it was present? due to sports injury years ago.....

[@Choomblaster]

I refer new ct techs to your videos it’s unfortunate most techs don’t have a radiologist who cares enough to teach

[@bigrob4840]

How come you didn't talk about ascites water retention? My GI ordered ct for me to see that the water is not fat. Are you familiar w/ this.

[@masonannakiaraallbestfrein4339]

What are peritoneum calcified right mesentreric lymph nodes?

[@wicky525]

Can a CT scan 'see' polypropylene mesh in an abdomen ?

[@DieselPowerRacing]

Hi! very interesting video. Out of interest how long would you typically spend on reviewing 1 patient CT scans?

[@muhammadfachrulrozy2578]

hi sir. i hope you wanna share how to do basic of radiograf

[@Terry1212]

How can you tell if someone has a perforated bowel?

[@MR..181]

I thought they show scan pictures at level that shows half kidney only to fill up dialysis centers and procedure centers and drug sales to progress death stages for profits as the motion slice film copys always erase themselves after one playing. A second opinion or scan without insurance is 17,000 dollars..

[@billc3114]

I am going to have a colonoscopy later this year. What does radiology look for there? If anything. I had one polyp several years ago that was benign thank goodness. Great video Doc!

[@peachpeach1531]

Thanks for the search patterns - I used them on my most recent rotation. Matching DR in a couple of weeks!

[@stefizccore]

Love it. Very helpful. Do more videos like this. Other kinds of studies too!

[@zohebmulla3670]

Sir ulcers of colon can be seen in sonography or ct scan?

[@GRIM_MOD]

I got 1 of these done, am I in great danger? In the future please let me know it came out clear tho, I’m worried about the radiation from one but it was a very advanced one in a hospital.

[@Destiny_detroitdoc]

Very interesting stuff! Radiology right now is the only exciting part about medicine right now to me. Lol! So what are the dark black spots that I see that appears to be in the colon/intestines. Sometime in 1st year of medical school I remember getting taught on what the different densities indicate, solid versus air, versus liquid. Can you give me a quick refresher please? :) Thank you!

[@joshbutler2187]

Great video. Could you do a video on when do we order CT with or without contrast? I always get confused when I'd need to order a CT scan with contrast (either IV or oral).

[@cali.shellie]

You can always ask a Technologist if available which scan best visualizes what you are looking for or trying to rule out. We can always help if you need to know with, without, or combination of both. We get lots of orders that do not correlate with what the diagnosis is and it can be frustrating on our side getting a provider to understand why their order needs to be changed. For example: an abdomen with contrast may not image the RLQ pain suspicion for appendicitis. We hate the goose chase of getting an order changed. Questions are always welcome so we can do right by the patient.

[@joshbutler2187]

@@cali.shellie I'm a physician, I want to know so that I can order the correct imaging!

[@endtimesanalysis1249]

Did you look into bladder ?

[@DUKEofWAIL]

Please make your narration the same volume as the quirky, self-indulgent introduction.