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Age: 4

Sex: Male

Indication: Epigastric pain

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Case #7


Findings

  • Nonobstructive bowel gas pattern with a moderate colonic stool burden
  • No evidence of free intraperitoneal air
  • No abnormal intraabdominal mass effect or calcification
  • Sclerotic, collapsed, and minimally fragmented appearance of the right femoral head


Diagnosis

  • Perthes disease

Sample Report

Nonobstructive bowel gas pattern with a moderate colonic stool burden.

No evidence of free intraperitoneal air.

No abnormal intraabdominal mass effect or calcification.

Sclerotic, collapsed, and minimally fragmented appearance of the right femoral head, concerning for avascular necrosis (Perthes disease).


Discussion

  • Watch out for corner findings



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