headand neckneck and head radiology

Upload: vsignature

Post on 30-May-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/14/2019 Headand NeckNeck and Head Radiology

    1/69

    Head and Neck

    Radiology

    Head and Neck

    Radiology

    Head and Neck

    Radiology

  • 8/14/2019 Headand NeckNeck and Head Radiology

    2/69

    Facial pain with air/fluid levelon x-ray

    Bruit heard in neck

    Trauma with questionable blowout fracture

    Difficulty swallowing with mass in lower

    neck

    Hoarseness

    Blurred vision

    Epistaxsis

  • 8/14/2019 Headand NeckNeck and Head Radiology

    3/69

    Caldwell View of Sinus

    1.Nasal Septum

    2. Frontal Sinus

    3. Maxillary Sinus

    4. Ethmoid Sinus

    5. Inferior Turbinate

    6.Odontoid process

    2

    1 4

    3

    5

    6

  • 8/14/2019 Headand NeckNeck and Head Radiology

    4/69

    Sinus-

    Waters

    1. Frontal sinus

    2. Ethmoid Sinus

    3. Nasal Septum

    (bony)

    4. Zygomatical-

    Frontal

    Suture

    5. Maxillary Sinus

    6. Zygoma

    7. Zygomatic Arch

    8. Mandible

    9. Inferior orbital

    margin

    10. Left orbit

    8

    1

    2

    5

    6

    7

    9

    10

    3

    4

  • 8/14/2019 Headand NeckNeck and Head Radiology

    5/69

    Lateral Sinus

    & Skull

    1. Frontal Sinus

    2. Maxillary Sinus

    3. Ethmoid Sinus

    4. Spenoid Sinus

    5. Sella Turcica

    6. Occipital Bone

    7. Mastoid Air Cells

    8. Floor of posterior

    fossa

    9. Anterior arch of C-

    1

    10. Mandible

    11.Coronal Suture

    10

    9

    1

    2

    3 4

    5

    6

    7

    8

    11

  • 8/14/2019 Headand NeckNeck and Head Radiology

    6/69

    AP Townes

    (Skull)

    1. Parietal bone

    2. Lambdoid suture

    3. Foramen magnum

    4. Petrous temporal

    bone

    5. Mandible

    6. Mastoid air cells

    465

    1 1

    2 2

    3

    6

  • 8/14/2019 Headand NeckNeck and Head Radiology

    7/69

    3

    2

    4

    6

    Base of the

    Skull

    1.Lat. ptyergoidplate

    2. Ethmoid Sinus

    3. Odontoid Process

    4. Sphenoid Sinus

    5. Foramen ovale

    6. Maxillary Sinus

    7. Mastoid air cells

    8. Ant arch of C-1

    9. Margin of foramen

    magnum

    10. Ext auditory canal7

    9

    1

    5

    8

    10

  • 8/14/2019 Headand NeckNeck and Head Radiology

    8/69

    1

    2

    3

    4

    Airway

    1. Calcified tracheal

    cartilage rings2. Hyoid bone

    3. Epiglottis

    4. Thyroid cartilage

    5. Cricoid cartilage

    5

  • 8/14/2019 Headand NeckNeck and Head Radiology

    9/69

    2

    1

    Lateral Neck

    1. Stylo-hyoid

    ligament

    2. Hyoid bone

    1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    10/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    11/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    12/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    13/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    14/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    15/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    16/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    17/69

    5

    2

    3

    6

    4

    Arteriogram

    1. Internal

    Carotid artery

    2. Carotid

    Syphon

    3. Maxillary

    artery

    4. Occipital

    artery

    5. Externalcarotid artery

    6. Common

    carotid artery

    1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    18/69

    Color Doppler Ultrasound of Carotid

  • 8/14/2019 Headand NeckNeck and Head Radiology

    19/69

    1SINUS-CT

    Axial view

    1. Frontal Sinus

  • 8/14/2019 Headand NeckNeck and Head Radiology

    20/69

    2

    1

    CT of Sinus

    Axial

    view

    1. Ethmoid

    Sinus

    2. Sphenoid

    Sinus

    3. Carotid

    canal

    3

  • 8/14/2019 Headand NeckNeck and Head Radiology

    21/69

    2

    1

    Axial scan of

    facial bones

    1. Ossicularchain

    (malleous/

    incus)

    2. Internal

    auditory

    meatus

  • 8/14/2019 Headand NeckNeck and Head Radiology

    22/69

    CT of Sinus

    Axial view

    1. MaxillarySinus

    2. Pterygoid plate

    3. Nasopharynx

    4. Nasal septum

    5. Inferior

    turbinate2

    3

    4

    5

    1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    23/69

    CT of Sinus-

    Axial View

    1. Maxillary

    Sinus

    2. Hard Palate

    3. Oropharynx

    4. Masseter

    muscle

    4

  • 8/14/2019 Headand NeckNeck and Head Radiology

    24/69

    Axial scan of facial

    bones

    1. Zygomatic arch

    2. Mastoid air cells

    11

    2

  • 8/14/2019 Headand NeckNeck and Head Radiology

    25/69

    1

    Axial Scan of

    facial bones

    1. Mandible

  • 8/14/2019 Headand NeckNeck and Head Radiology

    26/69

    1

    Coronal view of sinus

    1. Fronto-nasal suture

  • 8/14/2019 Headand NeckNeck and Head Radiology

    27/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    28/69

    Coronal view of

    sinus

    1.Ethmoid sinus

    2. Inferior turbinate

    1

    2

  • 8/14/2019 Headand NeckNeck and Head Radiology

    29/69

    Coronal view of

    sinus

    1. Maxillary sinus

    11

  • 8/14/2019 Headand NeckNeck and Head Radiology

    30/69

    Coronal View of

    sinus

    1. Sphenoid sinus

    1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    31/69

    2. Zygomatic frontal suture 3. Middle turbinate

    4. Inferior turbinate 5. Maxillary ostea

    3

    2

    4

    5

    Coronal

    Scan of

    sinus

  • 8/14/2019 Headand NeckNeck and Head Radiology

    32/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    33/69

    Axial scan of

    orbit

    1. Retrorbital

    fat

    2. Medial

    rectus

    3. Lens

    4. Lateral

    rectus

    5. Optic nerve

    1 23

    4

    5

  • 8/14/2019 Headand NeckNeck and Head Radiology

    34/69

    Axial scan of neck

    1. Medial pterygoid

    muscle

    2. Masseter muscle

    3. Parotid gland

    1

    3

    2

  • 8/14/2019 Headand NeckNeck and Head Radiology

    35/69

    Axial scan of neck

    1. Common

    carotid artery

    2. Thyroid

    cartilage

    3. Sternocleido-

    mastoid muscle

    4. Internal jugular

    vein

    1

    2

    3

    4

  • 8/14/2019 Headand NeckNeck and Head Radiology

    36/69

    Axial scan of

    neck

    1. Thyroid gland

    1 1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    37/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    38/69

    Thyroid Scan

    Nuclear Medicine

  • 8/14/2019 Headand NeckNeck and Head Radiology

    39/69

    Thyroid

    Ultrasound

  • 8/14/2019 Headand NeckNeck and Head Radiology

    40/69

    CASE HISTORIES:

    Facial pain Bruit heard in neck

    Trauma to orbit

    Difficulty swallowing Neck mass in lower neck

    Blurred vision

    Epistaxsis

  • 8/14/2019 Headand NeckNeck and Head Radiology

    41/69

    Facial pain and nasal congestion

  • 8/14/2019 Headand NeckNeck and Head Radiology

    42/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    43/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    44/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    45/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    46/69

    Trauma to orbit

  • 8/14/2019 Headand NeckNeck and Head Radiology

    47/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    48/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    49/69

    Asymtomatic Bruit on physical exam

  • 8/14/2019 Headand NeckNeck and Head Radiology

    50/69

    A t i

  • 8/14/2019 Headand NeckNeck and Head Radiology

    51/69

    5

    2

    3

    6

    4

    Arteriogram

    1. Internal

    Carotid artery

    2. Carotid

    Syphon

    3. Maxillary

    artery

    4. Occipital

    artery

    5. External

    carotid artery

    6. Common

    carotid artery

    1

  • 8/14/2019 Headand NeckNeck and Head Radiology

    52/69

    Lateral carotid arteriogram

  • 8/14/2019 Headand NeckNeck and Head Radiology

    53/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    54/69

    Palpable neck mass inferiorly

  • 8/14/2019 Headand NeckNeck and Head Radiology

    55/69

    Case 2a

  • 8/14/2019 Headand NeckNeck and Head Radiology

    56/69

    Case 2b

  • 8/14/2019 Headand NeckNeck and Head Radiology

    57/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    58/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    59/69

    Hoarseness

  • 8/14/2019 Headand NeckNeck and Head Radiology

    60/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    61/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    62/69

    Visual field defect Blurred vision

  • 8/14/2019 Headand NeckNeck and Head Radiology

    63/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    64/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    65/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    66/69

    Epistaxis

  • 8/14/2019 Headand NeckNeck and Head Radiology

    67/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    68/69

  • 8/14/2019 Headand NeckNeck and Head Radiology

    69/69