Head and

Head and Neck

Neck
Radiology
Radiology
Head and Neck
Radiology
• Facial pain with “air/fluid level”on x-ray
• Bruit heard in neck
• Trauma with questionable “blowout fracture”
• Difficulty swallowing with mass in lower
neck
• Hoarseness
• Blurred vision
• Epistaxsis
 Caldwell View of Sinus
1.Nasal Septum
2
2. Frontal Sinus
3. Maxillary Sinus
4. Ethmoid Sinus
1 4
5. Inferior Turbinate
3
6.Odontoid process

6
 Sinus-
1
10 Waters
1. Frontal sinus
2. Ethmoid Sinus
3. Nasal Septum
2 (bony)
5 4. Zygomatical-
4
Frontal
Suture
5. Maxillary Sinus
6 6. Zygoma
7. Zygomatic Arch
9
8. Mandible
9. Inferior orbital
margin
3 10. Left orbit

8
 Lateral Sinus
11
& Skull
1. Frontal Sinus

2. Maxillary Sinus
3. Ethmoid Sinus
1 4. Spenoid Sinus
5. Sella Turcica
3 4
5 6. Occipital Bone
7. Mastoid Air Cells
2 8. Floor of posterior
fossa
6 9. Anterior arch of C-
1
7 10. Mandible
8 11.Coronal Suture

10
 AP Townes
(Skull)
1. Parietal bone
1 1
2. Lambdoid suture
3. Foramen magnum
4. Petrous temporal
bone
5. Mandible
2 2
6. Mastoid air cells
3

4
65
6
 Base of the
6 Skull
1. Lat. ptyergoid plate
2
2. Ethmoid Sinus
3. Odontoid Process
4. Sphenoid Sinus
5. Foramen ovale
6. Maxillary Sinus
1 7. Mastoid air cells
4 8. Ant arch of C-1
9. Margin of foramen
5 magnum
7
10 10. Ext auditory canal

9
 Airway
1. Calcified tracheal
cartilage rings
3
2. Hyoid bone
3. Epiglottis
2 4. Thyroid cartilage
5. Cricoid cartilage
5

1
 1

Lateral Neck
1
1. Stylo-hyoid
2 ligament
2. Hyoid bone
 Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
4 artery
5. External
carotid artery
1
6. Common
5 carotid artery

6
Color Doppler Ultrasound of Carotid
1
SINUS-CT
Axial view
1. Frontal Sinus
 CT of Sinus
Axial
view
1. Ethmoid
Sinus
2. Sphenoid
Sinus
1

3. Carotid
canal

2 3
 Axial scan of
facial bones
1. Ossicular
chain
(malleous/
incus)
2. Internal
1
auditory
meatus

2
 CT of Sinus
1 Axial view
4
1. Maxillary
Sinus
2. Pterygoid plate
3. Nasopharynx
4. Nasal septum
5
5. Inferior
2
turbinate
3
 CT of Sinus-
Axial View
1. Maxillary
Sinus
2. Hard Palate
4
3. Oropharynx
4. Masseter
muscle
1 1 Axial scan of facial
bones
1. Zygomatic arch
2. Mastoid air cells

2
 Axial Scan of
facial bones
1
1. Mandible
 Coronal view of sinus
1. Fronto-nasal suture

1
 Coronal view of
1 sinus
1.Ethmoid sinus
2. Inferior turbinate

2
 Coronal view of
sinus
1. Maxillary sinus
1 1
 Coronal View of
1 sinus
1. Sphenoid sinus
2 Coronal
Scan of
sinus

3
4

5
2. Zygomatic frontal suture 3. Middle turbinate
4. Inferior turbinate 5. Maxillary ostea
 Axial scan of
orbit
1. Retrorbital
fat
2. Medial
rectus
2 3
1 3. Lens
4. Lateral
4 rectus
5. Optic nerve

5
 Axial scan of neck
2
1 1. Medial pterygoid
muscle
2. Masseter muscle
3. Parotid gland

3
 Axial scan of neck
2
1. Common
1 3
carotid artery
2. Thyroid
cartilage
3. Sternocleido-
mastoid muscle
4. Internal jugular
4 vein
1 1 Axial scan of
neck
1. Thyroid gland
 Thyroid Scan
Nuclear Medicine
 Thyroid
Ultrasound
• CASE HISTORIES:

• Facial pain
• Bruit heard in neck
• Trauma to orbit
• Difficulty swallowing
• Neck mass in lower neck
• Blurred vision
• Epistaxsis
• Facial pain and nasal congestion
• Trauma to orbit
• Asymtomatic Bruit on physical exam
 Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
4 artery
5. External
carotid artery
1
6. Common
5 carotid artery

6
Lateral carotid arteriogram
• Palpable neck mass inferiorly
Case 2a
Case 2b
• Hoarseness
• Visual field defect –Blurred vision
• Epistaxis