Neuro_CT_Neck: 18 F, septic shock.
CLINICAL HISTORY: 18 yo F with septic shock.
The patient is
. The endotracheal tube may be in slightly low position at the carina. However, the carina is not completely visualized.
right pleural effusion
is present at the right lung apex and there is
extensive ground-glass opacity
left upper lobe cavity
and area more posteriorly of left
is seen extending from the right external jugular vein at the lumen of the right internal jugular vein at the C5-6 level. This was present on the previous examination and is less well visualized due to marked streak artifact from the patient's shoulders.
infiltration of the right parapharyngeal fat
with inflammatory changes but no discrete abscess seen.
Prominent tonsillar tissue is noted bilaterally consistent with history of pharyngitis.
Scattered right neck nodes are noted.
The visualized portions of the brain parenchyma are unremarkable. No bony abnormalities are seen.
An air-fluid level is seen within the
right maxillary sinus
possibly due to intubation. The mastoids are clear.
Right internal jugular vein thrombus
2. Evidence of
within the lung apices and
large right pleural effusion
. These changes are superimposed on
groundglass seen at the apices
which could represent superimposed ARDS.
3. Findings consistent with infiltration and infection of the oropharyngeal and right parapharyngeal soft tissues.
Study description: CT NECK W CON