To
err is human…….an old saying and true with everybody!
Radiologists too can miss certain findings while reading CT scans
of the abdomen. MDCT has thrown new challenges to radiologists as more and more details can be seen now.
Errors
cannot be eliminated, but we can reduce them and should be our AIM!
Here is a short list
of findings that are easily overlooked while reading abdominal CT scans.
It is based on mistakes I have made myself or observed when radiology residents
report.
A
little attention and adhering to a protocol helps.
I typically, avoid looking for the
obvious finding first. I have a checklist, which I follow and try to avoid
looking at the most obvious findings first.
Here
is my list. And I urge you also to keep track of such errors you encounter.
Most important is to share with your fellow radiology colleagues!
2. Spine fracture: If you view spine in sagittal as a routine in MDCT of abdomen, you will not miss them.
3. Liver lesions in the left lobe: Left lobe is usually small as compared to the right lobe and one is likely to miss lesions in them, especially at the dome or inferior edge of segment III. Remember to use a metastatic window while looking for liver lesions (narrow window with high contrast).
4. Pancreatic tail lesions.
5. Incidental adrenal nodules.
6. Ureteric calculus in a patient with suspected appendicitis.
7. Early / minimal hydronephrosis
8. Small angiomyolipoma
.....................CONTINUE WITH YOUR OWN LIST!!!!!!!!!!!!!!!!!
Prepared by Dr. Sharad Maheshwari
Updated: 21.08.2014
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