Ulcer | The Common Vein

Uncategorized

Ulcer

Aorta

Penetrating Ulcer with Mural Hematoma

47792c01 ascending aorta fx ulcer mural hematoma dx penetrating ulcer acute aortic syndrome CTscan Davidoff MD

Penetrating Ulcer

48363 descending thoracic aorta fx aortic ulcer fx atherosclerosis atheroma fx penetrating ulcer CTscan Courtesy Ashley Davidoff MD

GIT

Esophagus

Herpes Esophagitis with Aphtous Ulcers

Courtesy Ashley Davidoff MD 01189 code GI esophagus + fx aphtous ulcer + dx herpes esophagitis + barium swallow upper GI UGI imaging radiology contrast X-ray infection

The Normal (left) and Abnormal (right) Red and Swollen GE junction – Reflux Esophagitis

The GE junction is a distinct border as seen normally in the left image. The distal esophagus is normally a pearl white hue, while the gastric mucosa is a pink hue. In esophagitis the hyperemic inflammatory changes make the border less distinct (right image)

01239b01.800 esophagus stomach GE junction gastroesophageaal junction inflammed inflammation GERD red swollen reflux esophagitis grosspathology Courtesy Ashley Davidoff MD

Ulcerating Squamous Cell Carcinoma of the Esophagus

02425 02420 code esophagus + mass narrowing stricture ulceration heaped edges squamous cell carcinoma + grosspathology

Normal (a) and Reflux Esophagitis (b)

76217c esophagus normal smooth mucosa featurless heterogeneous mucosa nodular mucosa diffuse reflux esophagitis double contrast barium swallow Courtesy Ashley Davidoff MD

Reflux Esophagitis with Ulcers

70 year old male presents with burning substernal chest pain Barium swallow shows superficial ulceration at the GE junction and also small areas of ulceration along the distal esophagus

Stomach

Linear Erosions of Antral Gastritis

49746b01 normal

01323 01323b01 code stomach + linear erosions erosive gastritis + upper GI UGI imaging radiology contrast X-Ray inflammation

Punctate Duodenal Ulcer

76121c02 duodenum bulb punctate ulcer peptic ulcer double contrast upper GI upper GI Courtesy Ashley Davidoff MD

Small Bowel

Normal and Denuded Ulcerating Mucosa with Cobblestone of the Terminal Ileum in Crohn’s Disease

12231 colon large bowel cecum ileocecal valve appendix fx normal anatomy Courtesy Barbara Banner MD

02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB

Normal and Cobblestone

32525b01 small bowel terminal ileum colon ileocecal valve large bowel normal anatomy UGI SBFT Courtesy Ashley Davidoff MD

43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD

Cobblestone of the Terminal Ileum

43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD

02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB

GUT MSK RES Skin

An aphtous ulcer is a small ulcer on a mucous membrane, usually of the mouth, characterized by an erythematous halo.

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Cobblestone of the Terminal Ileum



43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD
02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB



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Cobblestone of the Terminal Ileum



43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD
02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB



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02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB
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Normal and Cobblestone



32525b01 small bowel terminal ileum colon ileocecal valve large bowel normal anatomy UGI SBFT Courtesy Ashley Davidoff MD
43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD
 



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Normal and Cobblestone



32525b01 small bowel terminal ileum colon ileocecal valve large bowel normal anatomy UGI SBFT Courtesy Ashley Davidoff MD
43159 small bowel fx ileum fx nodular mucosa fx cobblestone fx thickened folds fx narrowed lumen dx Crohns UGI SBFT Courtesy Ashley Davidoff MD AFD AFD
 



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Normal and Denuded Ulcerating Mucosa with Cobblestone of the Terminal Ileum in Crohn’s Disease



12231 colon large bowel cecum ileocecal valve appendix fx normal anatomy Courtesy Barbara Banner MD
02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB



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Normal and Denuded Ulcerating Mucosa with Cobblestone of the Terminal Ileum in Crohn’s Disease



12231 colon large bowel cecum ileocecal valve appendix fx normal anatomy Courtesy Barbara Banner MD
02477b02 small bowel terminal ileum mucosa fx inflammation ulceration fx nodules fx cobble stone thick walled dx Crohn’s disease ileocecal valve grosspathology Courtesy Dr Gutkin MD DB



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Punctate Duodenal Ulcer



76121c02 duodenum bulb punctate ulcer peptic ulcer double contrast upper GI upper GI Courtesy Ashley Davidoff MD



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76121c02 duodenum bulb punctate ulcer peptic ulcer double contrast upper GI upper GI Courtesy Ashley Davidoff MD



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Linear Erosions of Antral Gastritis



49746b01 normal
01323 01323b01 code stomach + linear erosions erosive gastritis + upper GI UGI imaging radiology contrast X-Ray inflammation



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49746b01 normal
01323 01323b01 code stomach + linear erosions erosive gastritis + upper GI UGI imaging radiology contrast X-Ray inflammation



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Reflux Esophagitis with Ulcers



70 year old male presents with burning substernal chest pain Barium swallow shows superficial ulceration at the GE junction and also small areas of ulceration along the distal esophagus
esophagus GE junction ulcer esophagitis barium swallow 83326.8s Courtesy Ashley Davidoff MD copyright 2009




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Reflux Esophagitis with Ulcers



70 year old male presents with burning substernal chest pain Barium swallow shows superficial ulceration at the GE junction and also small areas of ulceration along the distal esophagus
esophagus GE junction ulcer esophagitis barium swallow 83326.8s Courtesy Ashley Davidoff MD copyright 2009




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esophagus GE junction ulcer esophagitis barium swallow 83326.8s Courtesy Ashley Davidoff MD copyright 2009

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Normal (a) and Reflux Esophagitis (b)


76217c esophagus normal smooth mucosa featurless heterogeneous mucosa nodular mucosa diffuse reflux esophagitis double contrast barium swallow Courtesy Ashley Davidoff MD



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Normal (a) and Reflux Esophagitis (b)


76217c esophagus normal smooth mucosa featurless heterogeneous mucosa nodular mucosa diffuse reflux esophagitis double contrast barium swallow Courtesy Ashley Davidoff MD



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02425 02420 code esophagus + mass narrowing stricture ulceration heaped edges squamous cell carcinoma + grosspathology



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02425 02420 code esophagus + mass narrowing stricture ulceration heaped edges squamous cell carcinoma + grosspathology



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The Normal (left) and Abnormal (right) Red and Swollen GE junction – Reflux Esophagitis


The GE junction is a distinct border as seen normally in the left image.  The distal esophagus is normally a pearl white hue, while the gastric mucosa is a pink hue.  In esophagitis the hyperemic inflammatory changes make the border less distinct (right image)
01239b01.800 esophagus stomach GE junction gastroesophageaal junction inflammed inflammation GERD red swollen reflux esophagitis grosspathology Courtesy Ashley Davidoff MD



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The Normal (left) and Abnormal (right) Red and Swollen GE junction – Reflux Esophagitis


The GE junction is a distinct border as seen normally in the left image.  The distal esophagus is normally a pearl white hue, while the gastric mucosa is a pink hue.  In esophagitis the hyperemic inflammatory changes make the border less distinct (right image)
01239b01.800 esophagus stomach GE junction gastroesophageaal junction inflammed inflammation GERD red swollen reflux esophagitis grosspathology Courtesy Ashley Davidoff MD



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01239b01.800 esophagus stomach GE junction gastroesophageaal junction inflammed inflammation GERD red swollen reflux esophagitis grosspathology Courtesy Ashley Davidoff MD
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Courtesy Ashley Davidoff MD 01189 code GI esophagus + fx aphtous ulcer + dx herpes esophagitis + barium swallow upper GI UGI imaging radiology contrast X-ray infection



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Courtesy Ashley Davidoff MD 01189 code GI esophagus + fx aphtous ulcer + dx herpes esophagitis + barium swallow upper GI UGI imaging radiology contrast X-ray infection



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Penetrating Ulcer


48363 descending thoracic aorta fx aortic ulcer fx atherosclerosis atheroma fx penetrating ulcer CTscan Courtesy Ashley Davidoff MD



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48363 descending thoracic aorta fx aortic ulcer fx atherosclerosis atheroma fx penetrating ulcer CTscan Courtesy Ashley Davidoff MD



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Penetrating Ulcer with Mural Hematoma


47792c01 ascending aorta fx ulcer mural hematoma dx penetrating ulcer acute aortic syndrome CTscan Davidoff MD



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47792c01 ascending aorta fx ulcer mural hematoma dx penetrating ulcer acute aortic syndrome CTscan Davidoff MD



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TCV