Chest
|
Chest
|
|
Specific Anatomic Region |
Lung Parenchyma |
|
|
Application |
R/O lung metastases |
|
|
Author |
Fishman EK |
|
|
Reference Source |
Personal communication |
|
|
Scanner Used |
Siemens Somatom Plus-4 |
|
|
Injection Rate |
2cc/sec |
|
|
Contrast Volume and Type |
100-110cc of Omnipaque 350 |
|
|
Area Scanned |
Entire lung fields |
|
|
Scan Delay |
40sec |
|
|
Length of Spiral (time) |
up to 40sec |
|
|
Slice Thickness |
5mm |
|
|
Table Speed/Pitch |
8mm/sec or a pitch of 1.6 |
|
|
Reconstruction Interval |
5mm |
|
|
3D Technique Used |
Rarely needed |
|
|
Comment: Although for detection of lung nodules CT without contrast is in theory okay, IV contrast helps to better stage the mediastinum and hilum. In select cases reconstruction at 3mm intervals can be done to look for very small nodules. |
||
1A) |
1B) |
Case 1: lung metastases from transitional cell carcinoma of the bladder |
2A) |
2B) |
Case 2: volume rendering of a pulmonary nodule missed on routine dynamic CT |
3A) |
3B) |
Case 3: CT guided lung biopsy of a solitary pulmonary nodule |
4A) |
4B) |
Case 4: neurofibroma |
5A) |
5B) |
Case 5: adenocarcinoma of the lung |
