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RESEARCH HOSPITAL AND MEDICAL CENTER DEPARTMENT OF RADIOLOGY KANSAS CITY, MISSOURI FORM 19-4CH 314 Pertinent Clinical Findings - Reason for Exam. Laxative or Dearrhes Enema as Prep - 030292 VT Exam. Requested: Barium Enema c TRUMAN MR HARRY S our contrast. skuce films W H GRAHAN 19868 and Compare peneral with 314 A49770-10-13-64 8.2 66 Is Patient Pregnant? no Radiology Number: A-69485 8-3-66 Skull Films of the skull made in four projections show the cranial bones of normal density. There is nothing to suggest any evidence of abnormal calcification or any evidence of a bone erosive change. The pineal gland is well calcified and lies in the mid line. Comparison with an earlier examination shows that the equival change seen earlier could well have been TORMAL-GKULE technical. NORMAL SKULL. Echoencephalographio study fails to reveal any evidence of mid-lineshift. NORMAL ECHOGRAM. A film of the abdomen shows the kidney shadows and psoas outlines partially visualized with no stones within the urinary tract. Degenerative changes are present in the lumbar spine. NORMAL ABDOMEN. Examination of the colon by means of the barium enema reveals that the opaque material passes readily throughout the colon without evidence of obstruction. The bowel is somewhat irritable. There is nothing to suggest any evidence of ulceration and no diverticulae are identified. The terminal ileum is partially visualized. NORMAL BARIUM ENEMA. Following this a barium-air contrast study was done, we were able to obtain a fairly good mucosal relief pattern. No ulceration or organic pathology is seen in the air contrast study. NORMAL BARIUM-AIR CONTRAST STUDY. JWW:rf TRUMA NARA John W. Walker, M.D. Radiologist RADIOLOGY REPORT

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