The Teaching Files: Head and Neck PDF
Preview The Teaching Files: Head and Neck
Head and Neck Imaging This page intentionally left blank Head and Neck Girish M. Fatterpekar, MBBS, DMRD, DNB, MD Assistant Professor Radiology James J. Peters VA Medical Center Mount Sinai Medical Center New York, NY Peter M. Som, MD, FACR Professor of Radiology, Otolaryngology, and Radiation Oncology Chief of the Head and Neck Imaging Section Mount Sinai Medical Center New York, NY Thomas P. Naidich, MD, FACR Professor of Radiology and Neurosurgery Director of Neuroradiology Irving and Dorothy Regenstreif Research Professor of Neuroscience (Neuroimaging) Mount Sinai Medical Center New York, NY 1600JohnF.KennedyBlvd. Ste1800 Philadelphia,PA19103-2899 THETEACHINGFILES:HEADANDNECKIMAGING ISBN:9781416060598 Copyright#2011bySaunders,animprintofElsevierInc. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronic ormechanical,includingphotocopying,recording,oranyinformationstorageandretrievalsystem, withoutpermissioninwritingfromthepublisher.Detailsonhowtoseekpermission,further informationaboutthePublisher’spermissionspoliciesandourarrangementswithorganizationssuch astheCopyrightClearanceCenterandtheCopyrightLicensingAgency,canbefoundatourwebsite: www.elsevier.com/permissions. Thisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythe Publisher(otherthanasmaybenotedherein). Notices Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperience broadenourunderstanding,changesinresearchmethods,professionalpractices,ormedical treatmentmaybecomenecessary. Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluating andusinganyinformation,methods,compounds,orexperimentsdescribedherein.Inusingsuch informationormethodstheyshouldbemindfuloftheirownsafetyandthesafetyofothers, includingpartiesforwhomtheyhaveaprofessionalresponsibility. Withrespecttoanydrugorpharmaceuticalproductsidentified,readersareadvisedtocheckthe mostcurrentinformationprovided(i)onproceduresfeaturedor(ii)bythemanufacturerofeach producttobeadministered,toverifytherecommendeddoseorformula,themethodanddurationof administration,andcontraindications.Itistheresponsibilityofpractitioners,relyingontheirown experienceandknowledgeoftheirpatients,tomakediagnoses,todeterminedosagesandthebest treatmentforeachindividualpatient,andtotakeallappropriatesafetyprecautions. Tothefullestextentofthelaw,neitherthePublishernortheauthors,contributors,oreditors, assumeanyliabilityforanyinjuryand/ordamagetopersonsorpropertyasamatterofproducts liability,negligenceorotherwise,orfromanyuseoroperationofanymethods,products, instructions,orideascontainedinthematerialherein. LibraryofCongressCataloging-in-PublicationDataorControlNumber(inSTL) Fatterpekar,GirishM. Theteachingfiles:Headandneck/GirishM.Fatterpekar.–1sted. p.;cm. Othertitle:Headandneck ISBN978-1-4160-6059-8 1. Head–Radiography–Casestudies.2. Neck–Radiography–Casestudies. I.Title.II.Title:Headandneck. [DNLM:1. Head–pathology–CaseReports.2. Head–radiography–CaseReports.3. Diagnosis, Differential–CaseReports.4. DiagnosticImaging–methods–CaseReports.5. Neck–pathology–Case Reports.6. Neck–radiography–CaseReports. WE705F254t2010] RC936.F382010 617.5’107572–dc22 2010010095 AcquisitionsEditor:PamelaHetherington DevelopmentalEditor:LoraSickora PublishingServicesManager:AnithaRaj ProjectManager:MarquitaParker/KiruthigaKasthuriswamy DesignDirection:StevenStave PrintedinUnitedStatesofAmerica Lastdigitistheprintnumber: 9 8 7 6 5 4 3 2 1 To my parents, Manohar and Sulabha who instilled in me that hard work, sincerity and dedication hold the keys to success To my wife Monali, for her unwavering support To my son Tanush, and nieces Isha and Nova for whom this book might serve as an inspiration Be curious always! For knowledge will not acquire you; you must acquire it. - Sudie Back This page intentionally left blank Preface Head and neck radiology has always been considered a particular entity including background information, challenging imaging territory. This largely stems from characteristic radiologic findings, and discussion of dif- inadequate exposure in this field. Case in-point, how ferentialdiagnosis.Asuggestedreadingsectionprovides many residents go through a dedicated “head and neck the reader with appropriate reference material. radiology” rotation during residency? In addition, the Imagesaretheveryessenceofradiology.Keepingthis supposedlycomplexanatomyof this region makeshead in mind, this book provides more than 600 carefully andneckradiologyappeardaunting.However,afocused selected images, obtained largely from the Interesting systematic approach as outlined in this case collection, Case Collection (otherwise known as the Som collec- can make head and neck radiology explicable and tion) of Mount Sinai Medical Center, one of the premier interesting. institutions of otolaryngology in the country. Towardthisendarepresentedawidearrayofcommon, While the book has been designed specifically for andsomeuncommonpathologies.Considerreadingafew radiology and otolaryngology residents, as well as neu- casesaday,andinashortperiodoftime,youwillbecome roradiology Fellows, it should also prove to be of great muchmorecomfortablewiththesubject. value in honing the interpretational skills of all This text,likethe othervolumesintheExpert Radiol- practicing head and neck radiologists. ogy Series, has been designed to exemplify key concepts I would like to take this opportunity to thank my inimaginginaproveneasy-to-digestcase-basedformat. mentors par excellence Drs. Som and Naidich, who It does not provide an exhaustive review of head and despitetheirbusyscheduleprovidedmewithinvaluable neck radiology. It focuses on the salient imaging fea- tips, and without whose help, this book would never tures. For a more comprehensive discussion on the sub- have been complete. ject, the reader is referred to texts such as Head and It is my genuine hope that this book will be informa- Neck Imaging by Som and Curtin. tive and instructive. I will consider my efforts worth- There are 14 sections in this volume, each of which while only if you, the reader, find it useful. Feedback is deals with a particular anatomic region such as orbit, important and will be much appreciated. nasal cavity and paranasal sinuses, facial trauma, etc. Employ your time in improving yourself by other Cases presented in each of these sections have been men’s writings, so that you shall gain easily what others organized in a particular format providing clinical his- have labored hard for (cid:1) Socrates tory,illustrativeimages,andaconcisediscussionofthat Girish Fatterpekar, MD This page intentionally left blank Acknowledgements My deepest gratitude to my mentors whose guidance I also want to acknowledge the staff at Elsevier for only helped me better myself. In particular, I would like their patience and support in making this text possible, to thank Burton Drayer, Thomas Naidich, Peter Som, especially Rebecca Gaertner, Pamela Hetherington and Mauricio Castillo, Suresh Mukherji, Manu Shroff, and Lora Sickora. It was a pleasure working with you. Ravi Ramakantan. Neuroradiology including Head and Neck radiology would never have been as exciting and enriching without your teaching. Girish M. Fatterpekar
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