Clinical Experience # 3

The last several months have been very hectic. Our hospital is switching to a new Epic system this coming weekend. I will be working when they bring the system up and our PACS will be up and down for a period of sixteen hours. It should be interesting. With this system the doctors have to put in there own orders, so I am curious of how this will turn out.

I have provided a image from a Ct abd/plv that was done on a 14 yr old that had a appendicitis. He was in the ER complaining on right lower quadrant pain. This was a Ct of abdomen and pelvis obtained while injecting 75 cc of Omnipaque 350 intravenously.

Impression was as follows:

Acute appendicitis with minimal pelvic ascites and also fluid around the inflamed appendix.

Hope everyone is having a GREAT semester.

Clinical Experience Update #2

My clinical rotation this semester is going great. There are a lot of different exams that I am able to see. It is nice being back in CT since I haven’t worked in CT for over a year. I am glad a lot of what I knew is coming back to me. I never want to lose the experience. One interesting case was a 76 year old male that came thru the ER. He was unresponsive and had bottomed out vital signs. We did the routine CT head without contrast and this is what the scanned showed.
A large intraparenchymal hemorrhage involves the right frontotemporal lobe with extension into the ventricular system. The hemorrhage measures approximately 8.5 cm in maximum dimension. There is significant surrounding edema and mass effect. There is approximately 12 mm of right to left midline shift. There is complete effacement of the right lateral ventricle. Hemorrhage was seen extending into the lateral third and fourth ventricles.