Chad Miller, Author at Clinical Advisor

Chad Miller

All articles by Chad Miller

Thromboangiitis Obliterans (Beurger Disease)

Preliminary Diagnosis: Thromboangiitis Obliterans (Beurger Disease) I. What imaging technique is first-line for this diagnosis? Ultrasound (Gray scale, Color Doppler, and spectral waveform) of the region of interest to evaluate the underlying vasculature. II. Describe the advantages and disadvantages of this technique for diagnosing thromboangiitis obliterans. Advantages Highly portable and relatively inexpensive imaging modality that…

Syringomyelia

Preliminary Diagnosis: Syringomyelia I. What imaging technique is first-line for this diagnosis? Non-contrasted intradural protocol MR of the (cervical, thoracic, and/or lumbar spine) in patients without a history of prior spine surgery. In patients with prior spine surgery, the first line for diagnosis is a contrasted intradural protocol MR of the (cervical, thoracic, and/or lumbar…

Suppurative Lymphadenitis

Preliminary Diagnosis: Suppurative lymphadenitis I. What imaging technique is first-line for this diagnosis CT soft tissue neck with IV contrast is the first-line imaging modality (given that the location of interest of lymphadenitis is the neck.) II. Describe the advantages and disadvantages of this technique for diagnosis of suppurative lymphadenitis. Advantages Highly sensitive and specific…

Superior Semicircular Canal Dehiscence

Preliminary Diagnosis: Superior semicircular canal dehiscence I. What imaging technique is first-line for this diagnosis CT temporal bone without contrast. II. Describe the advantages and disadvantages of this technique for diagnosis of superior semicircular canal dehiscence. Advantages Relatively inexpensive and fast imaging modality that offers exquisite detail of the osseous structures of the inner, middle,…

Squamous Cell Carcinoma of the Esophagus

Preliminary Diagnosis: Squamous Cell Carcinoma of the Esophagus I. What imaging technique is first-line for this diagnosis? Fluoroscopic guided double contrasted esophagram. II. Describe the advantages and disadvantages of this technique for diagnosing squamous cell carcinoma of the esophagus. Advantages Highly portable, relative quick imaging modality. Double contrast esophagraphy offers exquisite detail of the esophageal…

Sigmoid Sinus Thrombosis

Preliminary Diagnosis: Sigmoid Sinus Thrombosis I. What imaging technique is first-line for this diagnosis? CT venography of the brain. II. Describe the advantages and disadvantages of this technique for diagnosing sigmoid sinus thrombosis. Advantages Relatively inexpensive, fast imaging modality. Better able to evaluate the surrounding osseous structures than other imaging modalities. Disadvantages Exposes the patient…

Splenic Infarction

Preliminary Diagnosis: Splenic Infarction I. What imaging technique is first-line for this diagnosis? CT scan of the abdomen and pelvis with IV contrast. II. Describe the advantages and disadvantages of this technique for diagnosing splenic infarction. Advantages Most sensitive and specific imaging modality in detecting and characterizing a splenic infarct. Highly specific in characterizing the…

Seizures

Preliminary Diagnosis: Seizures I. What imaging technique is first-line for this diagnosis? MRI with contrast of the brain with seizure protocol. II. Describe the advantages and disadvantages of this technique for diagnosing seizures. Advantages Able to detail the brain parenchyma for gray and/or white matter abnormalities. Does not make use of ionizing radiation. Disadvantages Subject…

Sarcoma

Preliminary Diagnosis: Sarcoma I. What imaging technique is first-line for this diagnosis? Plain radiography. II. Describe the advantages and disadvantages of this technique for diagnosing sarcoma. Advantages Highly portable and quick imaging modality that exposes patients to negligible ionizing radiation. Offers exquisite visualization of the surrounding osseous structures and any mineralized structures. Disadvantages Limited in…

Rheumatologic ILD

Preliminary Diagnosis: Rheumatologic ILD I. What imaging technique is first-line for this diagnosis? Chest x-ray, PA, and lateral. II. Describe the advantages and disadvantages of this technique for diagnosing rheumatologic ILD. Advantages Relatively inexpensive and faster imaging modality compared to cross sectional imaging. Exposes patients to minimal ionizing radiation. Highly portable. Disadvantages Less sensitive and…

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