Saturday 12 October 2013

Adult Head: Routine (Helical Mode) (Protocol # 1.1)

Billing:
1. CT Head without, or with, or without and with
2. Contrast if used
Setup: 
1. Supine, AP and lateral scouts, no gantry angle 
2. Helical mode should be used routinely for adult head CT scans. Only use axial mode 
when you cannot move the patient’s head into proper position (trauma, cervical 
collar, rigid neck).
3. Patient Positioning: Tilt the patients head so that a line connecting the lateral 
canthus of the eye and the EAC is perpendicular to the CT tabletop (see below). Use 
axial mode and angle the gantry if you cannot place the patient’s head within 15 
degrees of the proper setup angle. 
4. Start scans at the bottom of C1 and scan through the top of the head
DFOV: Preferred 20 cm (Range 18-22)
Contrast: 
1. 150 ml of 240 mg/dl non-ionic contrast @ 0.6 ml/sec (4.2 minutes)
2. Begin scanning as soon as contrast injection is finished


Thursday 10 October 2013

Temporal Ch Mastoiditis.



Date: October 10, 2013
Name:   





CT TEMPORAL BONES (AXIAL & CORONAL CUTS) REVEALED:

The internal auditory canals showing normal CT measurements.

Normal CT appearance of middle and inner ear structures, no bony lesions.

No soft tissue mass lesions.

Normal CT appearance of the masoid air cells.

IMPRESSION:

Normal CT study of the temporal bones.


Best regards
                 

PNS Chr Sinusitis




Date: Thursday, 10 October, 2013
Name:  





CT PARANASAL SINUSES (CORONAL CUTS) REVEALED:




Lt. maxillary, Rt. sphenoid sinuses show normal CT features.

Hypoplastic Lt. frontal sinus is seen.

Mild hypertrophy of inferior nasal turbinates is seen.

Slightly deviated nasal septum to Lt. side is noted.




Best regards
                                       


orbit




Date:  
Name:  

CT ORBITS (AXIAL & CORONAL) REVEALED:

There is a relatively hyperdense enhancing mass measuring:    X     at Lt. supraorbital and prefrontal region.

Normal underlying bone structures with no intracranial extension.

No intra- or extra-conal mass lesions.

Normal CT appearances of both eye globes.


Best regards

multiple disc bulges + degenerative changes

Date:  
Name:  






CT LUMBOSACRAL SPINE (L3-S1) REVEALED:


L3-L4, L4-L5 & L5-S1 disc levels: evidence of multiple diffuse disc bulges indenting the ventral aspect of the thecal sac.


Diffuse disc degenerative changes are seen at the scanned levels seen as decrease disc heights and vaccum phenomena.

Lt. facet joint arthropathy is seen at L3-L4 noted as sclerosis of the joint with vaccum phenomena.


No spinal canal stenosis.

 No para-vertebral soft-tissue masses or collections.


Impression

Multiple diffuse disc bulges with spondylotic changes.

Best regards

LS - L2-S1 - disc bulges + degenerative changes




Date: Thursday, October 10, 2013
Name:  





CT LUMBOSACRAL SPINE (L3-S1) REVEALED:


At L4-L5 level: evidence of postero-lateral disc bulge indenting the ventral aspect of the thecal sac with encroachment upon the exit nerve root foraminae.

At L5-S1 level: evidence of SMALL Rt. postero-lateral disc bulge toutching the anterior aspect of the thecal sac with preservation of exit foraminae.

At L3-L4 level: shows normal CT appearance with no evidences of significant disc bulge.

Mild spondylolisthesis is seen.

Normal bony spinal canal.

No para-vertebral soft-tissue masses or collections.



Best regards
               .

LS - L2-S1 - Combined spinal canal stenosis.




Date: October 10, 2013
Name:   




CT LUMBOSACRAL SPINE (L3-S1) REVEALED:

Multiple axial cuts were obtained through the lmbar spine from L3-S1 and revealed:


At L4-L5: Lt. postero-lateral disc herniation impinging on the dural sac.

At L3-L4 and L5-S1: diffuse disc bulge is noted.

At L2-L3: no disc bulge or herniation.


Normal bony spinal canal.
Normal apophyseal joints.
No para-spinal abnormalities.




      Best regards