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Subarachnoid haemorrhage with blood in the basal cisterns, the ventricular system and in the cerebral sulci (including the sylvian fissure on the right).
A large intraparenchymal bleed can be seen within the right frontal lobe. There is significant dilatation of the ventricular system indicative of hydrocephalus. There is evidence of cerebral oedema with effacement of the sulci.
In
Massive RIGHT frontal intracerebral bleed - presumed secondary to arterio-venous malformation (confirmed with CT angiography to be an AVM of the MCA)
Haemorrhage was seen to have ruptured into the ventricular system.
Suggestion of concomitant subarachnoid blood. Soft tissue swelling anteriorly on the right side, with midline
Subarachnoid bleed with blood seen within the sylvian fissures, suprasellar and pre-pontine cisterns and the third ventricle (not shown).
Source of bleed subsequently found to be an AVM located in the posterior ciruculation.
Minor dilatation of the left temporal horn of the lateral ventricle
Situs inversus (right sided cardiac apex and right sided stomach bubble) with lower lobe ring shadows consistent with bronchiectasis. There is also bilateral hilar enlargement.
Axial CT slice shows situs inversus - liver on the left and spleen/stomach bubble on the right. Also note transposition of the normal positions of the IVC and aorta.
Healed mid shaft fracture of the femur, with fracture of greater trochanter
Healed mid-shaft fracture, acute frature of greater trochanter
Selected unenhanced axial CT of the brain demonstrates a left sided acute on chronic subdural haematoma resulting in sulcal effacement .
A Left sided acute on chronic subdural haematoma resulting in midline shift to the right and effacement of the left lateral ventricle.
A thin subdural haemorrhage is visble on the left side. The clinical history and appearance suggest a traumatic brain injury rather than aneurysmal subarachnoid haemorrhage.
There is left sided subarachnoid and intra-parenchymal blood in the left temporo-parietal region. A small amount of mass effect is seen, with effacement of the left lateral ventricle, and a small amount of midline shift.
There
Significant parenchymal haemorrhage and oedema causing compression of the left lateral ventricle with midline shift and uncal herniation.
There is contralateral hydrocephalus of the right lateral ventricle, with effacement of basal cisterns.
Images acquired following left decompressive craniotomy and aspiration of left temporal intracerebral haematoma. The decompression has reduced the mass-effect on the left ventricle, with resolution of previous hydrocephalus. There remains haemorrhage involving the left temporoparietal lobes. Intracranial pressure monitor visible in right frontal region.
Scoliosis Right prosthetic breast implant from previous reconstruction
CT showed large spinal tumour at T7 causing cord compression
Dextrocardia situs inversus - Note that this is not simply dextrocardia, where the heart alone is found to be further displaced to the right of thorax than normal.
This is situs inversus, therefore all major structures have been transposed through the sagittal plane - note the gastric bubble on the RIGHT. The liver will also be located on the LEFT
For interest, the normal anatomical
\"Saddle thrombus\" in Pulmonary artery
Large "Saddle Pulmonary Embolism".
Large scrotal hernia Right total hip replacement
Large scrotal hernia containing loops of bowel.
General osteopenia.
Right total hip replacement
Mutliple, widespread Liver Metastases
Selected axial image from a contrasted CT examination demonstrates mulitple, widespread low attenuation lesions throughout the liver consistent with liver metastases.
The primary malignancy is in sigmoid colon (Not visualised on this image)
XR Cervical spine - an acute flexion deformity is visbile at C2. The posterior elements of C2 appear to be missing due to pathological fracture.
