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Preliminary Interpretations of After-Hours CT and Sonography by Radiology Residents Versus Final Interpretations by Body Imaging Radiologists at a Level 1 Trauma Center

Erin Carney1, Jeffrey Kempf, Victor DeCarvalho, Anthony Yudd and John Nosher

1 All authors: Department of Radiology, Robert Wood Johnson University Hospital, 1 Robert Wood Johnson Pl., MEB 4th Fl., New Brunswick, NJ 08901.



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  		Fig. 1. —Axial CT scan of pelvis in 31-year-old man who presented with right lower quadrant abdominal pain and nausea shows enlarged appendix with transverse diameter of 1 cm. Slight streaking (arrow) represents periappendiceal inflammation. These findings are consistent with early appendicitis.

 


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  		Fig. 2A. —Axial CT scans obtained through upper chest in 62-year-old man who presented with syncope and left-sided weakness. Unenhanced (A) and contrast-enhanced (B) CT scans reveal hypodense lumen with mural calcification of innominate artery with partial enhancement of lumen (arrow, B) in contrast-enhanced CT scan. Findings are consistent with high-grade partial occlusion of vessel.

 


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  		Fig. 2B. —Axial CT scans obtained through upper chest in 62-year-old man who presented with syncope and left-sided weakness. Unenhanced (A) and contrast-enhanced (B) CT scans reveal hypodense lumen with mural calcification of innominate artery with partial enhancement of lumen (arrow, B) in contrast-enhanced CT scan. Findings are consistent with high-grade partial occlusion of vessel.

 


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  		Fig. 3. —Axial CT scan obtained through upper chest of 44-year-old man after motor vehicle crash shows high density in anterior mediastinum extending along pulmonary trunk and anteriorly to ascending aorta, consistent with mediastinal hematoma.

 

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