Dear Schlomit,
Catching up on messages.
I only do MRA plus MRN (not CTA) Can send protocol if you may like
Arms up and down- 3D STIR x2 and split bolus for Gd.
Arterial narrowing / venous stenosis is secondary evidence- u can see nerve kinks plus vasc narrowing with combo protocol.
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
On Feb 9, 2023, at 1:53 PM, Shlomit Stein <shlomit.stein> wrote:
EXTERNAL MAIL
Hi all,
Question for the group please.
For thoracic outlet syndrome (neurogenic vs arterial) CTA workup, do you image with the affected arm down or up? Both? Do you do any split dosing, just time off the aorta, or use a standard time delay?
Thanks,
Shlomit
IMPRESSION:
1. Medial meniscus horizontal flap tear as described
2. Subchondral insufficiency fractures of medial and lateral femoral condyles with underlying osteopenia
3. Scattered cartilage defects, including grade 4 defect of the femoral trochlea.RECOMMENDATIONS: Correlate clinically for vitamin D levels
