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Head and Neck Head and Neck

Radiology
Radiology

Radiology Head and Neck

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Facial pain with “air/fluid level”on x-ray Bruit heard in neck Trauma with questionable “blowout fracture” Difficulty swallowing with mass in lower neck • Hoarseness • Blurred vision • Epistaxsis

Caldwell View of Sinus
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1.Nasal Septum
2. Frontal Sinus 3. Maxillary Sinus 4. Ethmoid Sinus

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5. Inferior Turbinate
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6.Odontoid process

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Frontal sinus 2.1 10 SinusWaters 1. Inferior orbital margin 3 7 10. Zygoma 7. Left orbit 8 . ZygomaticalFrontal Suture 5. Zygomatic Arch 8. Ethmoid Sinus 2 4 3. Mandible 9. Nasal Septum (bony) 5 4. Maxillary Sinus 6 9 6.

Coronal Suture 10 .11 Lateral Sinus & Skull 1. Mandible 7 8 9 11. Mastoid Air Cells 8. Maxillary Sinus 3. Floor of posterior fossa 9. Anterior arch of C1 10. Occipital Bone 7. Spenoid Sinus 5. Ethmoid Sinus 1 4. Sella Turcica 3 4 5 2 6 6. Frontal Sinus 2.

Mandible 6. Foramen magnum 4. Mastoid air cells 5 6 4 6 .AP Townes (Skull) 1 1 1. Parietal bone 2. Petrous temporal bone 2 2 3 5. Lambdoid suture 3.

ptyergoid plate 2 2. Odontoid Process 4. Foramen ovale 6. Ethmoid Sinus 3. Ant arch of C-1 9. Margin of foramen magnum 10. Lat. Sphenoid Sinus 5. Maxillary Sinus 1 4 5 10 8 7 7. Mastoid air cells 8. Ext auditory canal 3 9 .6 Base of the Skull 1.

Thyroid cartilage 5. Cricoid cartilage . Calcified tracheal cartilage rings 3 2. Hyoid bone 3.Airway 1. Epiglottis 2 5 4 1 4.

1 Lateral Neck 1 2 1. Stylo-hyoid ligament 2. Hyoid bone .

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Arteriogram 1. Maxillary artery 3 4 1 5 4. Common carotid artery 6 . Occipital artery 5. Internal Carotid artery 2 2. Carotid Syphon 3. External carotid artery 6.

Color Doppler Ultrasound of Carotid .

Frontal Sinus .1 SINUS-CT Axial view 1.

CT of Sinus Axial view 1. Carotid canal 2 3 . Ethmoid Sinus 2. Sphenoid Sinus 1 3.

Internal auditory meatus 2 .Axial scan of facial bones 1. Ossicular chain (malleous/ incus) 1 2.

1 4 CT of Sinus Axial view 1. Maxillary Sinus 2. Inferior turbinate 3 . Pterygoid plate 3. Nasal septum 5 2 5. Nasopharynx 4.

Maxillary Sinus 2. Masseter muscle .CT of SinusAxial View 1. Oropharynx 4. Hard Palate 4 3.

Zygomatic arch 2.1 1 Axial scan of facial bones 1. Mastoid air cells 2 .

Mandible .Axial Scan of facial bones 1 1.

Coronal view of sinus 1. Fronto-nasal suture 1 .

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Inferior turbinate 2 .Ethmoid sinus 2.1 Coronal view of sinus 1.

Maxillary sinus 1 1 .Coronal view of sinus 1.

Sphenoid sinus .1 Coronal View of sinus 1.

Zygomatic frontal suture 3. Middle turbinate 4. Inferior turbinate 5.2 Coronal Scan of sinus 3 4 5 2. Maxillary ostea .

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Medial rectus 1 2 3 3. Lateral 4 rectus 5.Axial scan of orbit 1. Lens 4. Optic nerve 5 . Retrorbital fat 2.

Parotid gland 3 . Medial pterygoid muscle 2. Masseter muscle 3.2 1 Axial scan of neck 1.

Common carotid artery 2. Internal jugular vein .Axial scan of neck 2 1 3 1. Thyroid cartilage 3. Sternocleidomastoid muscle 4 4.

1 1 Axial scan of neck 1. Thyroid gland .

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Thyroid Scan Nuclear Medicine .

Thyroid Ultrasound .

• CASE HISTORIES: • • • • • • • Facial pain Bruit heard in neck Trauma to orbit Difficulty swallowing Neck mass in lower neck Blurred vision Epistaxsis .

• Facial pain and nasal congestion .

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• Trauma to orbit .

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• Asymtomatic Bruit on physical exam .

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Occipital artery 5. Common carotid artery 6 . Maxillary artery 3 4 1 5 4.Arteriogram 1. External carotid artery 6. Carotid Syphon 3. Internal Carotid artery 2 2.

Lateral carotid arteriogram .

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• Palpable neck mass inferiorly .

Case 2a .

Case 2b .

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• Hoarseness

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• Visual field defect –Blurred vision .

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• Epistaxis .