Search Patterns: IMAGE INTERPRETATION – Abnormalities:
CT HEAD
Higher attenuation structures
• Initial assessment of thick slices
for gross pathology (whiter):
• Perform a second, more detailed
survey • Fresh blood
• Look at soft tissue, bone and • Calcium
trauma lung windows (check for • Some tumours
air in the brain)
• Have review points to double Low attenuation structures
check – areas commonly missed (blacker):
or certain types of haemorrhage
m
• Oedematous brain
ed
• CSF
• Old blood
ic
• Air and fat
al
no
What to evaluate:
te
ss
1. Symmetry – hemispheres of
Words to use in your
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the brain should look the
comment:
om
same on both sides, if not, is
this due to rotation or
• Single or multiple pathology pathology?
• Intra or extra axial (inside or
outside of brain parenchyma) 2. Basal cisterns, ventricles and
• Location – which lobe, L or R? CSF spaces – usual size and
• Composition – high/low/mixed attenuation, symmetrical?
attenuation Example comment: The CSF
• Shape (crescent shaped, lens spaces, basal cistern and
shaped, wedge shaped) ventricles appear symmetrical
• Space-occupying or space- and not enlarged.
creating
Types of haemorrhage
@lauradiography