Saturday, October 24, 2009

4th Clinical Blog


Clinicals are going well. Gateway Hospital is a very busy place. The hospital is adding on a new addition that is to be open in approximately one year. Here is a case I had recently.



A 52 year old female presented to ED. She was diagnosed with breast cancer and had a right breast mastectomy in May. Since then her incisional wound, was draining yellowish colored pus. I scanned her using a routine chest protocol to see if she had a chest wall abscess. I scanned the pt with 70 cc of omnipaque 350 with a 40 second delay. I then processed the images into sagittal and coronals. The radiologist stated that she has an 8.0 x 5.5 cm seroma or possible abscess. He also felt that she has mets.






Thursday, October 8, 2009

3rd Clinical Blog




It hasn't been quite as busy at clinical, but that is o.k, need a break from the craziness. Recently a 39 year old male presented as an outpatient. He had an ATV accident two days prior and was seen in the emergency room. He had plain x-rays that showed a sternal fracture. He had a round knot to the right of his sternum which is causing him great pain. I placed a radiopaque CT BB marker on the middle of the knot. I scanned him using the routine chest protocol. I used 60 cc of Omnipaque 350 and reformated them in sagittal and coronal images. The radiologist read it as a small ovoid fluid collection measuring 3.3 x 1.1 cm possibly a resolving hematoma or fat necrosis.