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Pediatric abdomen

Case Study
Philips CT Clinical Science Philips Healthcare • USA

Clinical history

This pediatric patient with a history of pneumonia with pneumatocele vs diaphragmatic hernia came to Phoenix Children's Hospital and was referred for a CT abdomen scan. The technologist used the IQon Spectral CT and Spectral CT Viewer to perform the exam.
Left image: Conventional CT; Right image: 40 keV MonoE
Left image: Conventional CT; Right image: 40 keV MonoE
Conventional CT with Magic Glass
Conventional CT with Magic Glass

Diagnosis

The gallbladder is contracted with pericholecystic fluid. The images acquired on the IQon Spectral CT showed:
  1. Very large right-sided hydropneumothorax with complete collapse of the right lung. Small to moderate left pleural effusion. Nonspecific interstitial change in the left lung which could reflect edema, pulmonary venous congestion. Aspiration also possible. Mediastinal lymphadenopathy, likely reactive.
  2. Moderate amount of ascites throughout the abdomen.
  3. Heterogeneous appearance of the liver, likely secondary to phase of contrast. If there are concerns for liver pathology ultrasound with Doppler is recommended.
  4. Bilateral moderate hydronephrosis and hydroureter. Bilateral renal scarring.

Clinical significance

The IQon Spectral CT's low MonoE capabilities improved the image quality of the anatomy surrounding the gall bladder.

* Results from case studies are not predictive of results in other cases. Results in other cases may vary.


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Aug 7, 2018

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Case Study
IntelliSpace Portal, IQon Spectral CT
abdomen, Body, chest, gall bladder, hernia, kidney/renal, liver, lungs, MonoE, Pediatric, spectral CT, Spectral CT Viewer
 

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