Author Topic: CT of my lungs the day after my crash.  (Read 3606 times)

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
CT of my lungs the day after my crash.
« on: 09 December, 2017, 09:50:31 am »


No wonder I felt I’d lost all my endurance fitness. Shame I can’t see how they look now.

Or is this how they’ve always been, which could explain why I’ve never won a race longer than 2km!  ;D

Re: CT of my lungs the day after my crash.
« Reply #1 on: 09 December, 2017, 09:57:24 am »
What are we supposed to be looking for in the xray?

T42

  • Apprentice geezer
Re: CT of my lungs the day after my crash.
« Reply #2 on: 09 December, 2017, 10:08:56 am »
Nice view of the fractured clavicle.
I've dusted off all those old bottles and set them up straight

hellymedic

  • Just do it!
Re: CT of my lungs the day after my crash.
« Reply #3 on: 09 December, 2017, 11:05:13 am »
That's not a CT! It's a plain supine X-ray and the image size is too small for me to surmise much.

I am not a radiologist...

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #4 on: 09 December, 2017, 02:12:23 pm »
That's not a CT! It's a plain supine X-ray and the image size is too small for me to surmise much.

I am not a radiologist...

It is a crop from the full body image of the CT scan. I did need my doctor daughter to make any sense of the CT slices but we did find most of the fractures specified in my paperwork. The soft tissue CT slices were weird, who'd have thought that all four chambers of the heart would appear in the same slice as you went down head to toe?

Re: CT of my lungs the day after my crash.
« Reply #5 on: 11 December, 2017, 06:12:05 pm »
I am not a radiologist but I would agree with Helly that really does not look like a CT scan.  It may be a scout view before the CT scan but the whole point of a CT scan is that it is sliced like salami.  You literally without a 3D reconstruction see all of those things on a CT scan

ian

Re: CT of my lungs the day after my crash.
« Reply #6 on: 12 December, 2017, 12:01:11 pm »
I am not a radiologist but I spent a year looking at radio- and and tomograms of chests and lungs (look, everyone needs a hobby, ok) and I don't think that's a CT either, unless it's an flipped section re-created from the cross-sectional tomography. In which case, it's being clever.

"Yes please" said Squirrel "biscuits are our favourite things."

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #8 on: 12 December, 2017, 01:00:11 pm »
It may be a scout view before the CT scan

https://en.wikipedia.org/wiki/CT_scan#/media/File:CT_ScoutView.jpg

Looks very much like a CT scout view when you see it all then. I will reload the image viewer software later and have a look what the image label is other than "head to toe" which is all I remember.

As my audience wants CT slices I'll post one and you can look for the skull fracture!  ;D

Re: CT of my lungs the day after my crash.
« Reply #9 on: 12 December, 2017, 01:04:14 pm »
In a major trauma call this is probably the first screening view on admission

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #10 on: 12 December, 2017, 01:08:51 pm »
In a major trauma call this is probably the first screening view on admission

I had two CT scans, one on admission and a second one on day 2. I am not sure which this was, I think day 2 but I'll check.

Here is a slice from  the day 2 scan.

hellymedic

  • Just do it!
Re: CT of my lungs the day after my crash.
« Reply #11 on: 12 December, 2017, 01:13:02 pm »
I presume that's the bone window of a cranial (head) scan but I never was a radiologist.

Paul

  • L'enfer, c'est les autos.
Re: CT of my lungs the day after my crash.
« Reply #12 on: 12 December, 2017, 01:18:06 pm »
Here is a slice from  the day 2 scan.


IANAD, but I don't think your testicles should be there.
What's so funny about peace, love and understanding?

ian

Re: CT of my lungs the day after my crash.
« Reply #13 on: 12 December, 2017, 02:04:23 pm »
I have a CD-ROM somewhere with my brain on it.

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #14 on: 12 December, 2017, 08:41:11 pm »
Looks very much like a CT scout view when you see it all then. I will reload the image viewer software later and have a look what the image label is other than "head to toe" which is all I remember.

Indeed it does say "CT Scout".

Going through all the slices ("soft" not "bone") confirms what the scout suggests, i.e. the left lung has much smaller capacity. I must quiz my daughter about it when she next visits.

ian

Re: CT of my lungs the day after my crash.
« Reply #15 on: 12 December, 2017, 08:59:57 pm »
They said that about my brain capacity.

I just hit ctrl-+ until it was properly bigly.

IanN

  • Voon
Re: CT of my lungs the day after my crash.
« Reply #16 on: 12 December, 2017, 09:06:25 pm »
(I am not a radiologist, but) surely that's just where your heart sits above the stomach to the left of the spine. the outline of the lungs is pretty symmetrical
If there was anything else in there, it would be in the report.


hellymedic

  • Just do it!
Re: CT of my lungs the day after my crash.
« Reply #17 on: 12 December, 2017, 09:11:25 pm »
In a major trauma call this is probably the first screening view on admission

I had two CT scans, one on admission and a second one on day 2. I am not sure which this was, I think day 2 but I'll check.

Here is a slice from  the day 2 scan.


This still looks like a slice of a head, not a chest to me.

There's a skull, two eye sockets and a nose between them.

Air is black, bone is white and other tissues are shades of grey.

IanN

  • Voon
Re: CT of my lungs the day after my crash.
« Reply #18 on: 12 December, 2017, 09:12:42 pm »
Is that a fracture on the right above the ear?

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #19 on: 12 December, 2017, 09:37:04 pm »
(I am not a radiologist, but) surely that's just where your heart sits above the stomach to the left of the spine. the outline of the lungs is pretty symmetrical
If there was anything else in there, it would be in the report.

The heart should be in the middle not on the left, as it is (in the middle) when you go through slice by slice. In the report there was mention of contusion of the lung and "ground glass"!

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #20 on: 12 December, 2017, 09:47:00 pm »
In a major trauma call this is probably the first screening view on admission

I had two CT scans, one on admission and a second one on day 2. I am not sure which this was, I think day 2 but I'll check.

Here is a slice from  the day 2 scan.


This still looks like a slice of a head, not a chest to me.

There's a skull, two eye sockets and a nose between them.

Air is black, bone is white and other tissues are shades of grey.

Yes, that is the skull with the fracture just visible, it moves laterally as you go from slice to slice. The other four fractures were really difficult to find.

Pedal Castro

  • so talented I can run with scissors - ouch!
    • Two beers or not two beers...
Re: CT of my lungs the day after my crash.
« Reply #21 on: 12 December, 2017, 09:50:02 pm »
Is that a fracture on the right above the ear?

We have a winner!  ;D


Re: CT of my lungs the day after my crash.
« Reply #22 on: 13 December, 2017, 09:46:22 pm »
(I am not a radiologist, but) surely that's just where your heart sits above the stomach to the left of the spine. the outline of the lungs is pretty symmetrical
If there was anything else in there, it would be in the report.

The heart should be in the middle not on the left, as it is (in the middle) when you go through slice by slice. In the report there was mention of contusion of the lung and "ground glass"!

2/3 of the heart, by mass, is on the left. Hence, to make room for it, your left lung has two lobes and is lighter than the 3-lobed right lung (and the right is a bit shorter because of the shape of the liver).

“Ground glass”: not actual ground glass but an appearance on CT suggestive of air spaces being filled with (usually) fluid.

I’m not a radiologist or a doctor of any kind but I do work in imaging.