metastases in pulmonary parenchyma
pulmonary masses
pulmonary emboli
enlarged hilar lymph nodes
Chest CT pleural effusions
- indications tumor extension
thoracic abscesses
mediastinal masses
aortic aneurysms
evaluate heart and greater vessels
- arms raised over head - minimizes artifacts and expo-
sure
- AP localizer image
Chest scan - no gantry tilt
- helical scan in a single breath hold
- slices from above the apices of the lungs superiorly
through the adrenals
evaluate
- masses
- hilar masses
- lymphoma
- cardiac masses
Chest IV contrast
- enhance aorta and vessels
contrast
- may cause streak artifacts during bolus
- followed by a saline flush to minimize artifact
heart
great vessels
trachea
bronchi
, esophagus
thymus
Mediastinum CT
lymph nodes
- regions
thoracic duct
phrenic and vagus nerves
contrast
- rate 2 -4mL/sec
- scan delay time of 30 secs
- esophageal contrast agent may be used to coat esoph-
Mediastinum CT agus
- contrast
- scan scan
- axial slices
- apices of lungs superiorly to the adrenals
- 3mm axial and coronal slices recon
- soft tissue recon
locate nodules
contrast
- used to define between the mass and the mediastinal
Lung CT vessels
- contrast
- scan scan
- axial slices
- sternal notch superiorly through the adrenals inferiorly
- 3mm axial and coronal slices recon
- soft tissue and sharp recon
Low dose lung CT
- criteria
- scan