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

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Ever wonder how a RADIOLOGIST reads a CT Abdomen + Pelvis? This is a quick overview of the search pattern I use for every CT Abdomen & Pelvis I read. I have adopted this search pattern during my Radiology Residency. I Hope you enjoy!
DISCLAIMER: This is NOT my patient!!! This is a public DICOM file
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[@zhilothebest]

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

[@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...

[@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!

[@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.

[@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!

[@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.

[@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!

[@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

[@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!

[@Bulldog75stp]

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

[@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!!

[@beautifulbeautiful6363]

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

[@gaibriestephen5298]

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

[@mattyd337]

Videos of how you study would be great!

[@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

[@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!

[@adhavanprithvi9249]

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

[@flightdeckmaster]

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

[@Kate-Taylor]

Awesome video to watch as a Sonographer! thank you!

[@glenyswalker9295]

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

[@amanizindani5773]

Please keep these videos coming!!!

[@fennarademaker2573]

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

[@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!

[@zaidkifah6452]

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

[@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!

[@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..

[@ScorpioMystery97]

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

[@beans9298]

Love your videos. The human body is so fascinating

[@patrickday6822]

I love these videos and the unboxing IR equipment!

[@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?

[@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 😇🙏🏻

[@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

[@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

[@samah3378]

Thank youuuu (i am first year resident in algeria)

[@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.

[@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!

[@zachariahweisman6963]

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

[@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.

[@ozzielinkin]

wow , what great detail the images provide

[@joaohenriquesilvarafael1659]

Great video doc. Waiting to see an MRI study.

[@RobespierreThePoof]

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.

[@TheRadiologicTechnologist]

Nice job doc!

[@ragemenace]

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

[@Thomas_Needs_Coffee]

Awesome video! Always fun to watch. Just heads up the intro was super loud... Lol not complaining just letting you know Dr. C

[@zainab5713]

Thank you for making this video. Do you ever experience headaches from observing xrays for long periods of time?

[@stefizccore]

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

[@lowzor95]

Thank you and greetings from Croatia! :D

[@DrCellini]

Hvala puno!

[@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

[@amanizindani5773]

Can you do more pathology ct videos

[@peachpeach1531]

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

[@Pathologymadesimple]

Awesome video👌🏾

[@zahiralmoqbali7662]

What a great CT with a good anatomy

[@thewombats6666]

Outstanding. Please do more videos :)

[@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.

[@subiOm]

Thank you!

[@hoshmandhamadamin3483]

Thank you very much that was very helpful

[@johncarlos5613]

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

[@alikh4649]

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

[@wwnusacommentarynewsworldw2133]

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

[@vpe1962]

Wonderful! As Radred, it’s awesome to fine this. Thanks! It will be Great if you can Upload: how to read AngioCt in Brain-Thorax-Abdomen. The Most important measures and how? It will be so useful. Thanks and good Luck! Greetings from Argentina

[@Doomsday1071]

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

[@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!

[@wilkbor]

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

[@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”

[@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!

[@markorollo.]

Just found this through recommended videos as I've been searching a lot of stuff like this due to an upcoming virtual colonoscopy I'm having, would you say they're reliable in comparison to an old school colonoscopy?

[@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!

[@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.

[@msyang7818]

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

[@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

[@grace_alone_toward_repentance]

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?

[@amanizindani5773]

Can you also do cta coronary artery study

[@sarvejanasukhinobavunthu712]

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

[@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.

[@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).

[@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.)

[@FedericoMassariello]

Hi Michael! Would be great if u can do a little quick tutorial on how to execute ultrasonography. Merry XMas by One of your follower and Italian colleague 🎅🎅🎅

[@MariaSantos-gm7ps]

Thank you for the video

[@hamidehhamzehpoor514]

Useful;thanks

[@nashiito1313]

This video is amazing! Me sirvió para una tarea. I will read a lot of books just to be like you. I love u Like si lo ves en 2020! Greetings from philippines, Estacion Central.

Mis felicitaciones con el canal.

[@onyedikaisaac4330]

Love your videos, never been more sure of what specialty I'd like to pursue than I am now. #radiology

[@TheRusschannel]

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.....

[@mahso11]

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

[@MollyMcBooter]

Is it true you can’t wear any jewelry at all when getting a CT scan? I have a steel ring stuck on one of my finger for almost 10 years now. I’ve tried the floss trick, bolt cutters, etc. The bugger ain’t coming off 😬 lol. I have to get a CT scan next week for an abdominal mass thats starting to get pretty painful.

[@VWGG1]

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.

[@radiointensivo]

Where you found this dicom images!?

[@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?

[@famousfinalscene]

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

[@f12025]

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

[@chinlesswonderkid]

Is there a way I can send an email to u privately? As I have a gastro tube situated in the same locationn for last thirty yrs. A lot of leakage and seeping coming from stoma site for the last 7 months ruining dressings and clothes etcetera. Parents and Dr's keep saying "I worry too much about it and so on" I think feed etc going into jejunum I wonder should the feed be going into stomach not jejunum

[@imcoolawesomedude1]

Just found your channel and am loving it! When going through the bowel there are some large deep black splotches. Is that air or feces or...?

[@mohammedzada6665]

Bowel gas (farts)

[@jjbg7640]

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

[@paulac1762]

What about Hernias ?? brilliant vid x

[@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?

[@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.

[@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.

[@somthing_cool2257]

Hello, great videos suggestion,maybe for the bigger vocabulary words if you can simplify them that way its a little easier to follow what you are looking at? Would help people who are looking at your videos for study. Thankyou.