Head

and
Neck
Head and Neck
Radiology
Radiology
Head and Neck
Radiology

Facial pain with air/fluid levelon 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. Frontal Sinus
3. Maxillary Sinus
4. Ethmoid Sinus
1

5. Inferior Turbinate
3

5
6

6.Odontoid process

SinusWaters

1
10

1. Frontal sinus
2. Ethmoid Sinus
3. Nasal Septum
(bony)

2
5

4. ZygomaticalFrontal
Suture
5. Maxillary Sinus

6. Zygoma
7. Zygomatic Arch

8. Mandible
9. Inferior orbital
margin

10. Left orbit

Lateral Sinus
& Skull

11

1. Frontal Sinus

2. Maxillary Sinus
3. Ethmoid Sinus
1

4. Spenoid Sinus
5. Sella Turcica
3

6. Occipital Bone

7. Mastoid Air Cells

2

8. Floor of posterior
fossa
6

9. Anterior arch of C1
7

10. Mandible
8

9
10

11.Coronal Suture

AP Townes
(Skull)
1

1. Parietal bone

2. Lambdoid suture
3. Foramen magnum
4. Petrous temporal
bone

5. Mandible

6. Mastoid air cells

3

65

4
6

Base of the
Skull

1. Lat. ptyergoid plate

2

2. Ethmoid Sinus
3. Odontoid Process
4. Sphenoid Sinus
5. Foramen ovale
6. Maxillary Sinus
7. Mastoid air cells

1
4

8. Ant arch of C-1

9. Margin of foramen
magnum

5
7

10
8

3
9

10. Ext auditory canal

Airway

1. Calcified tracheal
cartilage rings
2. Hyoid bone
3. Epiglottis

4. Thyroid cartilage
5. Cricoid cartilage
5
4
1

Lateral Neck
1
2

1. Stylo-hyoid
ligament
2. Hyoid bone

Arteriogram
1. Internal
Carotid artery

2. Carotid
Syphon
3. Maxillary
artery

3
4
1

4. Occipital
artery
5. External
carotid artery
6. Common
carotid artery

5
6

Color Doppler Ultrasound of Carotid

SINUS-CT
Axial view
1. Frontal Sinus

CT of Sinus
Axial
view
1. Ethmoid
Sinus
2. Sphenoid
Sinus

3. Carotid
canal
2

Axial scan of
facial bones
1. Ossicular
chain
(malleous/
incus)
1

2. Internal
auditory
meatus

1
4

CT of Sinus
Axial view
1. Maxillary
Sinus
2. Pterygoid plate
3. Nasopharynx
4. Nasal septum

5
2

5. Inferior
turbinate

CT of SinusAxial View
1. Maxillary
Sinus
2. Hard Palate
4

3. Oropharynx
4. Masseter
muscle

Axial scan of facial

bones
1. Zygomatic arch
2. Mastoid air cells

Axial Scan of
facial bones
1

1. Mandible

Coronal view of sinus

1. Fronto-nasal suture

Coronal view of
sinus

1.Ethmoid sinus
2. Inferior turbinate

Coronal view of
sinus
1. Maxillary sinus
1

Coronal View of
sinus
1. Sphenoid sinus

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
1

3. Lens
4. Lateral
4
rectus
5. Optic nerve

Axial scan of neck

1. Medial pterygoid
muscle

2. Masseter muscle
3. Parotid gland
3

Axial scan of neck

2
1

1. Common
carotid artery

2. Thyroid
cartilage
3. Sternocleidomastoid muscle
4

4. Internal jugular
vein

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. Carotid
Syphon
3. Maxillary
artery

3
4
1

4. Occipital
artery
5. External
carotid artery
6. Common
carotid artery

5
6

Lateral carotid arteriogram

 Palpable neck mass inferiorly

Case 2a

Case 2b

 Hoarseness

 Visual field defect Blurred vision

 Epistaxis