We understand the increasing quality and cost-reduction challenges you face and your need to expand your practice and be more competitive. While we continue to be an extension of the practices we serve, we also stand at the forefront of changes in technology, standards and service delivery. Our business is now more about partnering with you and uniquely helping to meet your service and operational efficiency needs. We are a leader with full solutions in clinical, technology and business management.

With the support of RadNet, we can now offer you these additional services:

Staff Augmentation
Our staffing capabilities can minimize time and resources you spend recruiting and vetting radiologists. We augment staff at facilities with the appropriate number of radiologists to provide the level of diagnostic interpretation expertise that medical staff and referring providers expect in achieving the highest standards of patient care.

Subspecialty Network
We can expand your facility's subspecialty expertise through RadNet's national network of over 500 radiologists who read more than 4 million studies a year.

Department Expansion
We can provide support for your facility in procuring new modalities and/or facility expansion. Our financial resources can help you find the solution that meets your specific requirements.

Administrative Support
We provide administrative support, including professional billing, eliminating the burden on your staff.

Radiology Technology
Complete turn-key radiology technology system, and PACS Backup Solution, should your in-house server be unavailable. We provide full technical support and resources 24/7.

Our mission now is broader - to be a leader in radiology services by providing superior-quality patient care. I am looking forward to many new opportunities to work with you.

Please feel free to contact me anytime with questions or comments.

Respectfully,
Mike Lampron, CEO
Imaging On Call
P: 888-647-5979 x1011
E: mlampron@imagingoncall.com

A 70-year-old patient recently presented to one of our client's emergency departments with a history of abdominal distention, pain and brownish emesis. CT with oral contrast demonstrated dilated proximal small bowel loops and relatively collapsed distal small bowel loops, representing small bowel obstruction. There were also linear foci of air in the liver (Fig. 1), initially concerning for bowel ischemia with portal venous air, but upon closer inspection, the air was recognized to be within the biliary ducts. The gallbladder was irregular and inflamed (Fig. 2), and cholecystitis was considered, although the coexistence of a bowel obstruction was considered unusual. Tracing the dilated bowel loops to the point of obstruction demonstrated a 2-cm calcification (Fig. 3) that was recognized as a gallstone. Reevaluation of the gallbladder demonstrated a fistula between gallbladder and duodenum (Fig. 2).

DIAGNOSIS: Gallstone Ileus

Gallstone ileus is not a true ileus but actually a small bowel obstruction that occurs following a severe bout of cholecystitis, when a gallstone erodes through the gallbladder wall and into the bowel, typically the duodenum, although perforation and fistulization to the colon and stomach can also occur. Gallstone ileus occurs in less than 1% of patients with cholelithiasis but in about 1 in 6 patients with gallbladder perforation. Biliary air is seen in 69% of patients, and an ectopic gallstone is identified in 25%. Surgery is indicated, and there is high mortality.

Imaging On Call serves more than 85 sites in multiple geographic areas with diverse patient populations. Our radiologists are exposed to a wide variety of pathologies every day, which reinforces knowledge, confidence, and accuracy in interpretation of routine studies. It also increases their ability to confidently diagnose less common conditions and diseases that may not often be seen in a classic private practice or even an academic setting that may cover only one or a few sites.