By Gareth Lewis, Sachin Modi, Hiten Patel, Shahid Hussain
On-Call Radiology provides case discussions at the most typical and significant medical emergencies and their corresponding imaging findings encountered on-call. instances are divided into thoracic, gastrointestinal and genitourinary, neurological and non-traumatic spinal, paediatric, trauma, interventional and vascular imaging. Iatrogenic problems also are discussed.
Each case is gifted as a practical scientific state of affairs and incorporates a medical heritage and request for imaging. Multi-modality imaging examples and a case dialogue at the analysis and simple administration, with emphasis on vital radiological findings, also are presented.
This publication combines a case-based dialogue layout with sensible recommendation on imaging choice making within the acute atmosphere. It additionally bargains tips on radiology document writing and strategies, with a spotlight on proper confident and adverse findings to go directly to referring clinicians. On-call Radiology offers valuable wisdom and useful assistance for any on-call radiologist.
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Additional resources for On Call Radiology
Example text
The falciform ligament is also seen outlined clearly by free gas (arrow). 16/05/15 3:07 AM 34 Chapter 2 Computed tomography The first aim of the radiologist when interpreting an abdominal CT should be to identify the extraluminal air. Free air can be seen as small locules around the liver edge or within the peritoneum or as large collections of air that are difficult to identify as separate from bowel. Often, using a wide window (such as lung window settings) can help identify free air and distinguish between intra- and extraluminal gas.
SVC obstruction. • Azygous continuation of the IVC. • Portal hypertension. • Constrictive pericarditis. 23a–c Axial and coronal images: IV contrast enhanced CT scans of the thorax in the arterial phase. There is a spiculated mediastinally invasive lung tumour, which is compressing the SVC to a narrow slit. 24). Obstruction of the SVC above the level of the azygous arch results in flow through chest wall collaterals into the azygous venous system. 25a, b). The presence of collateral vessels implies a significant long-standing venous obstruction.
Locules of extraluminal gas are seen adjacent to the sigmoid colon at the site of diverticular perforation, in addition to a contained abscess at this site. When perforation occurs owing to diverticulitis or colorectal malignancy without bowel obstruction, the quantity of free air is usually small and locules of air tend to be concentrated in close proximity to the involved colonic loops. The presence of free air, phlegmon and/or an abscess, an extraluminal collection and the underlying colonic abnormality (neoplasm) should be carefully evaluated on CT scans.