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C-2433 - The CT and MRI scout views: don't forget to look!

Y. Wu, C. N. Tentugal; Bury St Edmunds/UK Type: Educational Exhibit
Area of Interests: Thorax, Abdomen, Professional issues
Imaging Techniques: MR, CT
Procedure: Education
Special Focus: Education and training
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Learning objectives: To illustrate various significant findings displayed on the scout views of CT and MRI exams. To demonstrate the importance of routine inspection of the scout images.

Background: Scout views are low-resolution radiographic images which are routinely performed for localizing a CT or MRI exam. They are frequently overlooked by the reporting Radiologist, however, scout views can present significant pathological findings which may or may not be included in the field of view (FOV[...]

Findings and procedure details: We present multiple cases which demonstrate significant findings on the scout images, many of which are not included in the FOV of the CT or MRI exam.   Case 1: (Fig. 1) a 37-year-old female, presented with shortness of breath on exertion for 8 days and a CT pulmonary angiogram was performed.[...]

Conclusion: Scout views are an indispensable part of any CT and MRI examination. Radiologists should carefully review the scout images in order to detect potential significant findings that may or may not be included in the FOV of the study. A missed finding on scout views may lead to a delay in patient’s manag[...]

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References: 1. Daffner RH. Reviewing CT Scout Images: Observations of an Expert Witness. AJR Am J Roentgenol. 2015 Sep;205(3):589-91 2. Johnson PT, Scott WW, Gayler BW, Lewin JS, Fishman EK. The CT scout view: does it need to be routinely reviewed as part of the CT interpretation? AJR Am J Roentgeno[...]

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