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Help me to interpret this ct films

Reading File
analyse_media
analyse_media
Finding Sources
Searching PubMed

"head injury"[MeSH Terms] AND "computed tomography"[MeSH Terms]

Searching the Web

ACR Appropriateness Criteria head trauma CT imaging red flags emergency

Reading File
These are photographs of a non-contrast CT head, shown in brain and bone windows. A photographed film cannot replace review of the original CT images and the radiologist's report.
What I can see from these photos
  • No obvious large acute intracranial hemorrhage.
  • No obvious extra-axial collection, major midline shift, severe brain swelling, or hydrocephalus.
  • The ventricles appear roughly symmetric and not enlarged.
  • I do not see an obvious depressed skull fracture or large displaced facial/skull fracture on the visible bone-window and 3D views.
  • Small symmetric bright foci near the basal ganglia/choroid plexus can be normal calcifications.
Important limitations
  • Small bleeds, early ischemic stroke, subtle contusions, thin fractures, venous sinus injury, and facial-orbital injuries cannot be safely excluded from these phone photos.
  • Correct interpretation requires the full DICOM scan in multiple planes and window settings, as described in Grainger & Allison's Diagnostic Radiology, in its discussion of acute trauma CT assessment.
What to do
  1. Get the written CT report, especially the “Findings” and “Impression” sections. Send a clear photo or paste the text here and I can explain it line by line.
  2. Seek emergency care now if there is worsening headache, repeated vomiting, drowsiness/confusion, seizure, weakness/numbness, speech or vision trouble, unequal pupils, loss of consciousness, or fluid/blood from nose/ears.
  3. If this followed an injury, symptoms can evolve even when CT does not show a major abnormality. Clinical observation and follow-up should follow the treating clinician’s advice. The ACR head-trauma guidance supports CT as the main initial imaging test when clinically indicated.
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