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hello itamp;#39;s dr gabe from first look mri and this is a 13 year old male with complaints of abdominal pain constipation and on this sagittal view we see the lumbar spine sacrum coccyx wrapping around we see the upper pelvis here lower pelvis here and we see the front here and the bladder normally is round it sits about right here but instead the bladder is flat and itamp;#39;s really displaced interiorly and stretched goes really high up here so instead of being a nice round ball it says flat structure and we see this dark area here it looks almost like air itamp;#39;s really dark almost uniformly dark except for a few little tiny specks within it and this is the colon thatamp;#39;s severely distended filled with stool we call it fecal impaction and the stool fills the colon and the water is absorbed it becomes hard and then it has patients have difficulty passing the stool because itamp;#39;s a big gigantic hard block like this and it becomes impacted a lot of times you have
