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...

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 regard...

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...

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...

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            ...