HAD A COUPLE OF INTERESTING CASES. ONE WAS AN 82 YEAR OLD LADY WHO HAD FALLEN 5 DAYS PRIOR. SHE COMPLAINED OF LT MEDIAL HIP PAIN AND BEEN NONE WEIGHT BEARING SINCE THE FALL. SHE HAD HAD 2 SEPARATE SETS OF HIP XRAYS SINCE FALLING THAT WERE BOTH READ AS NORMAL. I SCANNED HER PELVIS USING AN OSTEO WINDOW, AND THE RADIOLOGIST SAW A PELVIC FRACTURE.

ANOTHER CASE INVOLVED TRYING TO GIVE RECTAL CONTRAST TO AN 31 YEAR OLD WITH A HISTORY OF CROHNS. THE PATIENT WAS HAVING SEVERE PELVIC PAIN AND CONSTIPATION. MULTIPLE ATTEMPTS TO TIP THE PATIENT FAILED, AND I ENDED UP SCANNING WITH IV CONTRAST ONLY. AFTER SEEING THE SCAN IT WAS APPARENT THE PATIENT HAD HAD A BARIUM STUDY IN THE LAST FEW WEEKS, WHICH THEY FAILED TO MENTION. THE RECTUM WAS IMPACTED WITH BARIUM TO THE POINT WHERE I SURE THAT WAS THE REASON I COULDN'T ADVANCE THE ENEMA TIP.