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Radiology

Head and Neck Imaging

Built from Fundamentals of Diagnostic Radiology

What’s inside

8 sections · 145 slides

  1. 01

    Overview

    • Scope of head and neck imaging

    1 slide

  2. 02

    Imaging Methods

    CT, MR, and PET for the head and neck

    • Choosing CT versus MR
    • Strengths of CT
    • Strengths of MR
    • PET imaging with FDG
    • Standardized uptake value (SUV)
    • MRI and PET-CT for staging

    6 slides

  3. 03

    Paranasal Sinuses and Nasal Cavity

    Sinusitis, polyps, mucoceles, papilloma, angiofibroma, malignancy

    • Sinusitis basics
    • Imaging sinusitis
    • Endoscopic surgery and the ostiomeatal unit
    • Two patterns of sinus obstruction
    • Ostiomeatal unit anatomy
    • Complications of sinusitis
    • Acute sphenoid sinusitis with cavernous sinus thrombosis
    • Inflammatory polyps
    • Mucous retention cysts
    • Mucocele and mucopyocele
    • Sinus mucocele
    • Inverting papilloma
    • Juvenile nasopharyngeal angiofibroma
    • Sinonasal malignancies
    • Minor salivary and other malignancies
    • Esthesioneuroblastoma
    • Separating tumor from retained secretions

    17 slides

  4. 04

    Skull Base and Temporal Bone

    Skull base tumors, jugular foramen lesions, cholesteatoma

    • Skull base anatomy
    • Skull base tumors: overview
    • Primary malignant skull base tumors
    • Chordoma
    • Chondrosarcoma and osteogenic sarcoma
    • Other skull base bony lesions
    • Jugular foramen lesions
    • Temporal bone overview
    • Cholesteatoma
    • How an acquired cholesteatoma forms
    • Diagnosing cholesteatoma
    • Imaging cholesteatoma
    • Cholesterol granuloma

    13 slides

  5. 05

    Deep Neck Spaces

    Suprahyoid neck, the seven fascial spaces, and trans-spatial disease

    • Neck mass: age guides the differential
    • Suprahyoid compartments
    • Why deep spaces matter
    • Seven deep neck spaces
    • Deep compartments of the head and neck
    • Deep compartments of the head and neck (continued)
    • Superficial mucosal space
    • Benign mucosal lesions
    • Tornwaldt cyst
    • Adenoidal tissue in children
    • Adenoidal hypertrophy
    • Malignant mucosal lesions
    • Early nasopharyngeal malignancy triad
    • Early nasopharyngeal malignancy triad
    • Nasopharyngeal malignancy
    • Squamous cell carcinoma of the nasopharynx
    • Using fat suppression and T1
    • Nasopharyngeal carcinoma
    • Lymphoma of the mucosa
    • Parapharyngeal space as a landmark
    • Reading the displacement pattern
    • Parapharyngeal displacement by space of origin
    • Deep-lobe parotid pleomorphic adenoma
    • Carotid space mass behavior
    • Carotid space pseudomasses
    • Carotid space tumors
    • Paraganglioma presentation
    • Paraganglioma versus neuroma
    • Carotid body tumor
    • Glomus jugulare tumor
    • Schwannoma of the carotid space
    • Schwannoma and neurofibroma
    • Lymph nodes in the carotid space
    • Parotid space mass behavior
    • Metastatic nodes within the parotid gland
    • Parotid tumors
    • Benign pleomorphic adenoma appearance
    • Benign pleomorphic adenoma
    • Multiple and cystic parotid lesions
    • Benign lymphoepithelial cysts in Sjogren syndrome
    • Masticator space contents
    • Masticator space masses and pseudomasses
    • Masticator space malignancy
    • Osteosarcoma of the masticator space
    • Retropharyngeal space
    • Retropharyngeal contents and infection
    • Retropharyngeal abscess
    • Prevertebral space
    • Trans-spatial diseases
    • Lymphangioma versus hemangioma
    • Hemangioma
    • Perineural spread of disease
    • Perineural spread: mucormycosis infection

    53 slides

  6. 06

    Lymph Nodes

    Staging, cervical node levels, and malignant versus reactive nodes

    • 50%
    • Staging relies on imaging
    • Cervical lymph node levels
    • Thyroid gland and lymphatic node basins
    • Internal jugular chain landmarks
    • Node size rules
    • Malignant versus reactive nodes
    • PET for lymph nodes
    • Imaging lymph nodes
    • Squamous cell carcinoma: cystic nodal metastasis
    • Squamous cell carcinoma of the tongue, two examples

    11 slides

  7. 07

    Orbit

    Orbital spaces, optic nerve and sheath lesions, vascular lesions, the globe

    • Imaging the orbit
    • Orbital spaces and the muscle cone
    • Optic nerve sheath complex
    • Optic nerve glioma
    • Optic nerve glioma
    • Optic sheath meningioma
    • Optic sheath meningioma
    • Optic neuritis
    • Optic neuritis
    • Vascular orbital lesions
    • Vascular orbital lesions
    • Capillary hemangioma and lymphangioma
    • Cavernous hemangioma and varix
    • Orbital lymphangioma
    • Lymphangioma extending across spaces
    • Cavernous hemangioma
    • Superior ophthalmic vein and fistula
    • Carotid cavernous fistula
    • Pseudotumor versus lymphoma
    • Pseudotumor
    • Thyroid ophthalmopathy
    • Thyroid ophthalmopathy continued
    • Thyroid ophthalmopathy
    • Lacrimal gland lesions
    • Orbital dermoid
    • Globe lesions in children
    • Retinoblastoma
    • Globe lesions in adults

    28 slides

  8. 08

    Congenital Lesions

    Thyroglossal duct cyst, laryngocele, branchial cleft cyst, lymphangioma

    • Pediatric neck masses
    • Thyroglossal duct cyst
    • Thyroglossal duct route
    • Thyroglossal duct cyst management and imaging
    • Thyroglossal duct cyst
    • Laryngocele
    • Laryngocele
    • Branchial cleft cysts
    • Imaging branchial cleft cysts
    • Branchial cleft cyst
    • Lymphangiomas and cystic hygromas
    • Imaging lymphangiomas
    • Cystic hygroma
    • Key takeaways
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    16 slides