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#reviewradiology #updateradiology by @diagnosticradiography
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3 months ago
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Reformated coronal CT demonstrates the supraglottis, glottis, and subglottis as defined by the level of the ventricular complex (false cord, true cord, and intervening ventricle)#reviewradiology #updateradiology by @diagnosticradiography
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3 months ago
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Post contrast single slice CT neck demonstrate ill demarcated heterogenous asymmetric thickening of the epiglottis more prominence in the left side, the lesion is invading the pre and para glottic spaces, as well as thyroid cartilage and strap muscles. 
No lymphadenopathy evident.#reviewradiology #updateradiology by @diagnosticradiography
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3 months ago
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T2 shine Through: If the lesion has very bright T2 signal, DWI will not be able to mask it totally, then it appears of bright signal in DWI & ADC map.
This phenomenon is somewhat like a curtain that does not completelyblock out strong light. 
T2 shine through has no diagnostic value.
#reviewradiology by @diagnosticradiography
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3 months ago
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PEARLS:

To diagnose true restriction, a finding must be bright/ hyperintense on DWI and dark/ hypointense in ADC, if it is bright in both, it might be a false positive artifact known as "T2 shine- through"
#reviewradiology by @diagnosticradiography
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3 months ago
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1. Diffusion usually measures the movment of of extracellular water molecules. 
2. Diffusion restriction (DWI) refers to the phenomenon where the water molecules are limited in their normal random movment within the tissue. 
3. The ADC map is a calculated mathematical image that measures the actual rate of diffusion.
4. The radiologist look at two specific sequences together to confirm true restriction. 
a. DWI
b. ADC (Apparent Diffusion Cofficient), the restricted area appears bright/ hyperintense in DWI and dark/ hypointense in ADC
#reviewradiology by @diagnosticradiography
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3 months ago
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#reviewradiology #updateradiology 
What is the spot diagnosis? Please write in the comments. by @diagnosticradiography
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a year ago
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