(A) Axial contrast-enhanced CT scan of the neck in a young woman with 5 days of torticollis, odynophagia, a low-grade fever, and a slightly elevated white.

Slides:



Advertisements
Similar presentations
Case of the Month - October year old male with 2 week history of dysphagia and odynophagia. No trauma. Investigations reveal: – Temperature 37.5.
Advertisements

CA Hilditch1, S Biswas2, S Mathur1 1. Departments of Neuroradiology
HIV patient with reactivation tuberculosis
Adhesive capsulitis of the shoulder
Comparison of imaging methods
A: A 77-year-old-male presenting with right CN III palsy
Miliary tuberculosis. (A) Frontal chest radiograph demonstrates innumerable tiny nodules distributed throughout both lungs. There is a hazy opacity at.
Sinonasal anatomy. In this coronal plane CT scan, several key sinonasal landmarks can be seen. M, maxillary sinus; IT, inferior turbinate; MT, middle turbinate;
Cystic and varicose bronchiectasis
CT scan of the chest. These axial images of the lower chest demonstrate the difference in lung and soft tissue windows. This patient has a history of congenital.
(A) CT reconstruction lateral cervical spine demonstrating compression fracture and spinous process fracture from motor vehicle collision flexion injury.
(A) Axial T1-weighted image in a young patient with a slowly enlarging right parotid mass shows a round, well-circumscribed lesion of intermediate signal.
Diagnostic algorithm for normocytic anemia.
Soft tissue sarcoma. Forty-eight-year-old morbidly obese woman with a painless rapidly enlarging left anterior thigh. (A) Lateral radiograph of the left.
Soft tissue sarcoma. Forty-eight-year-old morbidly obese woman with a painless rapidly enlarging left anterior thigh. (A) Lateral radiograph of the left.
A paratracheal lymph node (arrows and calipers) can masquerade as a parathyroid adenoma. Surrounding structures: (th) thyroid, (t), trachea, (v & arrowheads)
Pseudocyst. (A) Axial noncontrast CT shows a nonspecific hypodense cystic lesion in the tail of the pancreas (white arrow) with a thin rim. Patient reported.
Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.
Fig. 1. Images of preoperative CT showing multiple neck lymph node metastases. Contrast-enhanced CT images showing multiple hyper-enhancing lymph nodes.
A-C: Precontrast sagittal and axial T1 and sagittal STIR sequences show a large, somewhat lobulated dorsal epidural collection that is slightly hyperintense.
Sagittal T2-weighted MRI scan of a Chiari showing typical peg-like appearance of cerebellar tonsils and associated syringomyelia. Source: Neurosurgery,
Anterior glenohumeral dislocation
Imaging studies in a patient with a distractive flexion injury of the cervical spine. (A) This lateral radiographic view demonstrates anterior subluxation.
Serial axial contrast-enhanced CT images in an older man with transglottic squamous cell carcinoma with cartilage erosion. (A) Image through the supraglottis.
A graph of the 15-year survival curves comparing localized melanoma (Stages I and II), regional metastases (Stage III), and distant metastases (Stage IV).
(A) Axial T1-weighted image in a 55-year-old woman with left facial pain and pressure demonstrates a soft tissue mass (white arrowheads) centered in the.
Scaphoid fracture. A. Scaphoid fracture nonunion. B
CT scans: retroperitoneum, bladder, prostate
External auditory canal atresia
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
CT myelogram demonstrates severe spinal stenosis at L3-L4 along with bilateral facet arthropathy (black arrows). Source: Chapter 4. Disorders, Diseases,
A sagittal reconstruction of a post-myelogram CT scan displaying the effacement of the spinal cord due to the protruding thoracic disk. Note the absence.
Renal ultrasonogram and contrast-enhanced abdominal CT scan in a 56-year-old woman with autosomal dominant polycystic kidney disease. A. Sonogram of the.
Increased nuchal translucency, with measurements more than 3 mm
Barium enema showing acute colonic dilation in ulcerative colitis
Image acquisition in a modern CT scanner
A 55-year-old mentally challenged man with chronic sinus congestion
Axial contrast-enhanced CT image demonstrates a large enhancing mass arising from the right base of tongue (yellow arrow). Note the presence of large metastatic.
Chronic myelogenous leukemia (CML)
CT scan of normal temporal bone, photographed in bone window
(A) Axial PET, (B) CT, (C) fused PET-CT, and (D) MIP images of a 68-year-old male with metastatic prostate cancer demonstrating diffuse sodium fluoride.
Diagnosis and surgical treatment of glomus tumor
A: In this patient at T12, there is a pathologic fracture through a large metastatic lesion. The sagittal T1-weighted sequence shows replacement of normal.
Contrast-enhanced ultrasound of splenic laceration in a 20-year-old woman. CT scan of the abdomen (A) shows a well-demarcated splenic laceration (arrow).
Central mass (squamous cell carcinoma) with left upper lobe collapse
Thoracic aortic aneurysm status post stent-graft repair
CT scans: retroperitoneum, bladder, prostate
Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.
Staging system for gastric carcinoma
CT scan showing two large gallstones that have a rim of calcification (large arrows). (From Schwartz DT, Reisdorff EJ. Emergency Radiology. New York: McGraw-Hill;
A. Axial CT scan demonstrating an air-fluid level in the right frontal sinus with associated subgaleal abscess (arrow). B. Axial CT scan 8 weeks after.
Intermediate probability V/Q scan
A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.
The Pavlik harness, a device used for treatment of hip dislocation, subluxation, and dysplasia. Source: Chapter 10. Pediatric Orthopedic Surgery, Current.
Right recurrent laryngeal nerve paralysis (dotted line = midline)
MRI of pleomorphic adenoma
SBO from ventral hernia
Axial CT view of a ventral hernia with incarcerated transverse colon (arrow). Note the defect in the fascia. Source: HERNIAS, Acute Care Surgery: Imaging.
Schematic depiction of how cochlear implant systems operate. 1
Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.
(A) Axial postgadolinium Tl-weighted image with fat saturation demonstrates a bulky mass in the left tonsillar fossa (white arrowheads), consistent with.
CT scans: kidneys. Upper left: Transitional cell carcinoma
Carotid angioplasty and stenting
Small bowel obstruction
Lymphoma of the small bowel
Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.
Descending thoracic aortic aneurysm
Blood supply and luminal surface of the small bowel
Sagittal reconstructed computed tomography with contrast demonstrates a smooth, lenticular-shaped fluid collection in the prevertebral soft tissues (arrow),
Contrast-enhanced computed tomography (CT) images of the neck; case two, 4 days after presentation. a) Axial CT image at the level of the submandibular.
Presentation transcript:

(A) Axial contrast-enhanced CT scan of the neck in a young woman with 5 days of torticollis, odynophagia, a low-grade fever, and a slightly elevated white blood cell count demonstrates a fluid collection (F) in the retropharyngeal space. A few displaced contrastenhancing vessels are seen around the collection, but the peripheral enhancement that might be expected with a retropharyngeal abscess is not present. (B) Axial image at a more cephalad level demonstrates an irregular calcification anterior to the C2 vertebral body, consistent with calcific tendinitis of the longus colli muscle. The fluid collection seen in part A represents an associated retropharyngeal effusion. Source: Chapter 3. Radiology, CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e Citation: Lalwani AK. CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e; 2012 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/lalw3/lalw3_c003f078b.png&sec=39945043&BookID=386&ChapterSecID=39944034&imagename= Accessed: November 02, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved