Head and Neck | Radiology Template Reports

CT Skull Base

Straylight — Thu, 21 May 2020 00:05:18 +0000

CT PETROUS TEMPORAL BONES

Clinical Information:

Technique:

Fine slice non-contrast helical CT images were obtained through the skull base. Bone and soft tissue windows were reconstructed.

Comparison:

___________

Findings:

Right Side:

No focal bony abnormality is identified in the skull base.
The external auditory canal, middle ear, vestibular-cochlear apparatus and internal acoustic canal have a normal appearance. The vestibular aqueduct is normal size.
The tympanic membrane and ossicles are normal. The epitympanic recess, scutum, mastoid antrum and mastoid air cells are normal.
The course of the facial nerve is normal.
The carotid canal and jugular foramen are unremarkable.

Left Side:

No focal bony abnormality is identified in the skull base.
The external auditory canal, middle ear, vestibular-cochlear apparatus and internal acoustic canal have a normal appearance. The vestibular aqueduct is normal size.
The tympanic membrane and ossicles are normal. The epitympanic recess, scutum, mastoid antrum and mastoid air cells are normal.
The course of the facial nerve is normal.
The carotid canal and jugular foramen are unremarkable.

Other:

The nasopharynx is normal. The fossae of Rosenmuller and the eustashian tubes are normal.
The visualised intracranial structures are normal, as is the craniocervical junction.
The proximal neck structures have a normal appearance. The parotid glands are normal within the field of view.

Conclusion:

Normal CT petrous temporal bones.

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CT Neck

Straylight — Fri, 06 Sep 2019 04:51:11 +0000

CT NECK - NORMAL

Clinical Information:

Technique:

Fine slice post IV contrast helical CT images were obtained from the skull base to the thoracic inlet. Soft tissue and bone windows were reconstructed.

Findings:

The neck compartments are well demarcated with no evidence of a mass lesion.

The pharyngeal and glottic regions are normal. The parapharyngeal fat space is normal. The tonsils and adenoids are normal. The visualised nasal cavity is unremarkable.

The parotid, submandibular and thyroid glands are normal.

The muscles and tendons of the neck are within normal limits.

There is no lymphadenopathy. The lung apices are clear.

No bony abnormality is seen. The craniocervical junction and spinal canal appear patent.

The common carotids, carotid bulbs, internal carotid and external carotid arteries have a normal appearance. No evidence of atheroma, stenosis, aneurysm or dissection is seen.

The jugular veins are normal.

Conclusion:

Normal CT neck.

The post CT Neck first appeared on Radiology Template Reports .

CT Cervical Spine – normal

Straylight — Thu, 20 Jun 2019 00:04:41 +0000

CT Cervical spine - Normal

Clinical Information:

Technique:

Fine slice non-contrast helical CT images were obtained from the skull base to the thoracic inlet. Bone and soft windows were reconstructed.

Comparison:

___________

Findings:

No fractures or other bony abnormalities are identified in the cervical spine. The vertebral bodies and discs are of normal height with no malalignment. No disc bulges are identified.

The facet and uncovertebral joints have a normal appearance.

The craniocervical junction is unremarkable, with normal foramen magnum.

The spinal canal is widely patent with normal appearing cord. The neural exit foramina are normal.

No paravertebral abnomality is seen. The prevertebral space is normal. The neurovascular structures and muscles are normal. No lymphadenopathy is seen.

The lung apices are normal.

Conclusion:

Normal CT cervical spine.

The post CT Cervical Spine – normal first appeared on Radiology Template Reports .

MRI CN VII and VIII nerves – normal

Straylight — Wed, 19 Jun 2019 01:49:55 +0000

MRI CN VII and VIII nerves - normal

Clinical Information:

MRI cerebellopontine angle; asymmetrical sensorineural hearing loss

Technique:

Multiplanar, multisequence MRI of the cerebellopontine angle was performed without and with IV contrast including high-resolution images through the course of both VII and VIII cranial nerves.

Comparison:

___________

Findings:

There is no focal brain parenchymal signal abnormality. In particular, the midbrain and brainstem are normal.

The external acoustic canal, middle ear, vestibular-cochlear apparatus and internal acoustic canals have a normal appearance.

The facial and vestibulocochlear nerves have a normal appearance, with no focal lesion, signal abnormality or abnormal enhancement.

The geniculate ganglion, cochlear component and descending bony component of the facial nerve have a normal appearance bilaterally.

The trigeminal and abducens nerves have a normal appearance.

No high signal is seen in the mastoid air cells or middle ear to indicate fluid.

Conclusion:

Normal MRI of the brain and cerebellopontine angle. No cause for sensorineural hearing loss is identified.

The post MRI CN VII and VIII nerves – normal first appeared on Radiology Template Reports .

CT Paranasal Sinuses

Straylight — Fri, 17 May 2019 05:49:46 +0000

CT Paranasal Sinuses

Clinical Information:

Technique:

Fine slice non-contrast helical CT images were obtained through the paranasal sinuses. Bone and soft tissue windows were reconstructed.

Comparison:

___________

Findings:

The paranasal sinuses are clear, with no mucoperiosteal thickening, mucous retention cysts or air-fluid levels.

The osteomeatal complexes have a normal appearance and no abnormal air cells are identified.

The nasal septum is midline with no spur.

The nasal conchae are normal with smooth mucosa and no aeration.

The orbits have a normal appearance, as does the nasopharynx and visualised oropharynx.

No bony abnormality is seen. The alveolar rim of the maxilla is normal.

No soft tissue abnormality is seen.

Conclusion:

Normal CT paranasal sinuses.

The post CT Paranasal Sinuses first appeared on Radiology Template Reports .

CT Facial Bones

Straylight — Fri, 17 May 2019 05:22:13 +0000

CT Facial Bones - Trauma

Clinical Information:

Technique:

Fine slice non-contrast helical CT images were obtained through the facial bones. Soft tissue and bone windows were reconstructed.

Comparison:

___________

Findings:

No fractures or bony abnormalities are identified in the facial bones.

The zygomatic arch is normal and there is no diastasis of the frontozygomatic suture. The orbital rim is intact, as are the nasal bones.

The paranasal sinuses are clear with no mucoperiosteal thickening. The nasal septum is midline with no spur. The osteomeatal complexes are normal.

The orbits have a normal appearance with unremarkable

globes
optic nerves
ocular muscles
vascular structures
infraorbital canal
superior and inferior orbital foramina
optic canal
lamina papyracea

The pterygoid plates and pterygopalatine fossa are normal.

The inferior alveolar ridge is normal.

The mandible is unremarkable with normal temporomandibular joints.

The visualised nasopharynx has a normal appearance.

No contusion or other soft tissue swelling is seen.

Conclusion:

Normal CT facial bones

The post CT Facial Bones first appeared on Radiology Template Reports .

CT Head – Common minor abnormalities

Straylight — Wed, 06 Mar 2019 01:58:29 +0000

CT HEAD - Minor small vessel ischaemic disease

Clinical Information:

Technique:

Fine slice non-contrast helical CT images were obtained from the skull base to the vertex. Brain and bone windows were reconstructed.

Comparison:

Findings:

No intra or extra-axial mass lesions or collections are identified. The ventricles and sulcal spaces are within normal limits and there is no midline shift. The midline structures are normal.

No loss of the grey-white matter junction is seen. Note is made of minor patchy reduced density in the corona radiata consistent with minor small vessel ischaemic disease.

The orbits have a normal appearance and the paranasal sinuses and mastoid air cells are clear.

No bony abnormality is seen.

Conclusion:

Minor small vessel ischaemic disease of the deep white matter is noted. Otherwise normal CT head.

The post CT Head – Common minor abnormalities first appeared on Radiology Template Reports .

MRI Cervical Spine – Normal

Straylight — Sat, 23 Feb 2019 01:46:44 +0000

MRI CERVICAL SPINE - Normal

Clinical Information:

Technique:

Sagittal T1, T2 and TIRM weighted imaging was obtained through the cervical spine as well as axial T1 and T2 images. Oblique T2 weighted images were acquired through the neural exit foramina bilaterally.

Findings:

The vertebral bodies and discs are of normal height and signal with no malalignment. The posterior elements are normal.

No disc bulges are identified.

The cranio-cervical junction is unremarkable, as is the spinal canal and cord.

The neural exit foramina are widely patent. The paravertebral soft tissues are normal.

Conclusion:

Normal MRI cervical spine.

The post MRI Cervical Spine – Normal first appeared on Radiology Template Reports .

Ultrasound Carotid Doppers

Straylight — Wed, 20 Feb 2019 04:59:10 +0000

NORMAL CAROTID DOPPLER ULTRASOUND

Clinical Information:

Comparison:

___________

Findings:

The common carotids, internal and external carotids have a normal appearance. No evidence of plaque, stenosis or dilation is seen. No spectral broadening, acceleration or deceleration is seen.

Right Neck Arteries

Vessel	Peak Systolic	Diastolic	Spectral Broadening	Stenosis
CCA	___	___	None	None
Prox ICA	___	___	None	None
Distal ICA	___	___	None	None
ECA	___	___	None	None
Vertebral	___	Antegrade	None	None

ICA/CCA Ratio: ____

Left Neck Arteries

Vessel	Peak Systolic	Diastolic	Spectral Broadening	Stenosis
CCA	___	___	None	None
Prox ICA	___	___	None	None
Distal ICA	___	___	None	None
ECA	___	___	None	None
Vertebral	___	Antegrade	None	None

ICA/CCA Ratio: ____

Conclusion:

Normal doppler ultrasound carotids.

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Normal OPG

Straylight — Tue, 05 Feb 2019 09:04:56 +0000

NORMAL OPG

Clinical Information:

__________

Findings:

The maxilla and mandible have a normal appearance. The TMJs are unremarkable. Please see films for state of dentition.

MILD ATROPHY

Clinical Information:

__________

Findings:

The TMJs are unremarkable. There is mild maxillary and mandibular atrophy. Please see films for state of dentition.

MODERATE ATROPHY

Clinical Information:

__________

Findings:

The TMJs are unremarkable. There is moderate maxillary and mandibular atrophy. Please see films for state of dentition.

SEVERE ATROPHY

Clinical Information:

__________

Findings:

The TMJs are unremarkable. There is severe maxillary and mandibular atrophy. Please see films for state of dentition.

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