In patients of RTA which are hemodynamically stable, what investigation is essential to confirm the diagnosis of Aortic rupture:

1. CT 2. MRI 3. Arch aortography 4. Phlebography

What is investigation of choice to confirm the diagnosis of Teratodermoid:

1. CXR 2. USG Chest 3. CT 4. MRI

The divisions of the mediastinum described in the diagnosis of mediastinal masses. (1) Superior mediastinum. (2) Anterior mediastinum. (3) Middle mediastinum. (4) Posterior mediastinum. Sites of the more common mediastinal tumours are also illustrated.

Advantages

ANTERIOR Mediastinum
1.

Mediastinal thyroid:
Thyroid masses are of lower signal on T1 and High signal on T2 due to their longer relaxation times.

2.

Thymus:
Normal thymus non specific long T1 & T2 resulting in low signal contrasting well with high signal fat on T1 but isointense wit fat on T2.

3.

Cystic medastinal masses:

Have very long T1 & T2 Signal intensity similar to CSF or urine.

Normal Thymus with azygous extension (3yr old boy)

Rethrosternal thyroid T2

MIDDLE Mediastinum
1. Nodal disease:

Rapid acquisition non-gated T1 images provide greater soft tissue contrast b/w Lymph nodes & Fat Usually a homogenous intermediate signal in T1 and iso-intense on T2
High intrinsic soft tissue contrast, due to low signal from flowing blood with intermediate signal from vessel wall & high signal from adjacent fat

2. Lymphoma:

3. Great vessels:

MIDDLE Mediastinum
4. Aorta:

Significant advantage over CT & angiography 3D gadolinium enhanced MRA Advantage & disadvantage
T1 transverse & coronal images show SVC infiltration/obstruction

5. Mediastinal veins: 6. Tracheal tumors:

Decreased spatial resolution of MRI compared to CT -- decreased accuracy in detecting tracheal tumors

POSTERIOR Mediastinum
Neurogenic tumors: 2. Oesophageal lesions 3. Extramedullary hematopoesis 4. Diaphragmatic hernias 5. Fibrosing mediastinitis
1.

Neurofibroma T1