1. CASE STUDY

2. Patient History Large man, slightly overweight Large man, slightly overweight Mild hypertension, elevated cholesterol Mild hypertension, elevated cholesterol CAD CAD Post quadruple bypass Post quadruple bypass COPD COPD Diabetes Mellitus type 2 Diabetes Mellitus type 2 Renal insufficiency Renal insufficiency Anemia Anemia Previous Prostrate cancer Previous Prostrate cancer

3. Preparation & Procedures No preparation, came from the ER No preparation, came from the ER Normally, make sure to remove clothing/objects obstructing field of view. Normally, make sure to remove clothing/objects obstructing field of view. If female make sure to ask about chance of being pregnant. If female make sure to ask about chance of being pregnant. Make mental note of consciousness, coherency Make mental note of consciousness, coherency Double check orders Double check orders

4. Pelvis Standard AP pelvis Standard AP pelvis Include entire pelvis, feet rotated internally if possible. Include entire pelvis, feet rotated internally if possible. Technique: 12 mAs, 90 kVp in the bucky Technique: 12 mAs, 90 kVp in the bucky Anatomy Anatomy

5. AP pelvis

6. Chest Non-trauma chest Wall bucky, patient erect, PA and lateral Technique: 4-6mAS @ 120 kVp Trauma (Patient on the stretcher) Lateral projection using the wall bucky AP with a manual technique and grid Technique: AP 8 mAs @ 120kVp

7. Chest

8. Shoulder Routine protocol: 3 view Routine protocol: 3 view 8-10 mAs @ 70-80 kVp, 70-80 with a grid if part over 10cm 8-10 mAs @ 70-80 kVp, 70-80 with a grid if part over 10cm Higher mA with short exposure time. Higher mA with short exposure time. 40” SID 40” SID Trauma Situation Same techniques & SID Position as patient condition allows. i.e. for a lateral do a trasnthoracic.

9. Shoulder

10. Imaging plays an important role in diagnosing tumors accurately…

11. MRI Lumbar Spine study

12. Lumbar Study Multiple level disc disease with spinal stenosis, most severe at the L4-5 level. Multiple level disc disease with spinal stenosis, most severe at the L4-5 level. Moderate inflammation bilaterally Moderate inflammation bilaterally Right side exit foraminal impingement. Right side exit foraminal impingement. No trauma or metastatic malignancy. No trauma or metastatic malignancy.

13. MRI Sagittal Slices

15. CT Studies preformed: Studies preformed: Head Head Chest Chest Abdomen Abdomen Pelvis Pelvis CT studies done to rule out: CT studies done to rule out: Possible metastases Possible metastases Primary lung carcinoma Primary lung carcinoma Other pathology Other pathology

16. Slices of the Head Dense area indicates lesion

19. Chest CT slices

21. When possible surgery is the most common treatment option. Other treatment options include: radiation and chemotherapy. One or more of the treatment options may be used in combination.

22. Facts About Brain Tumors Over 120 types of brain tumors. 3 out of 5 people who suffer from brain tumors are male. Account for 1 in every 100 cancers diagnosed annually in the U.S. Five year survival rate for males is 27.9% and 30.1% for women.

23. Diagnosis Brain lesion was found to be cancerous. Brain lesion was found to be cancerous. No surgery has been preformed due to location. No surgery has been preformed due to location. Patient currently undergoing radiation therapy. Patient currently undergoing radiation therapy. No further information about patients current condition or recovery rate were available at this time. No further information about patients current condition or recovery rate were available at this time.

24. References Bontrager, Kenneth L. Ma, RT (R). Textbook of Radiographic Positioning and Related Anatomy. 2001. St. Louis, Missouri. Pages 84-88, 177-187, 261. Bontrager, Kenneth L. Ma, RT (R). Textbook of Radiographic Positioning and Related Anatomy. 2001. St. Louis, Missouri. Pages 84-88, 177-187, 261. Meharry, Leroy; Ordinario, Maria M.; Travers, Leroy A. Radiologist/Doctors Reports. 2006. Good Shepherd Medical Center. Hermiston, Oregon. Meharry, Leroy; Ordinario, Maria M.; Travers, Leroy A. Radiologist/Doctors Reports. 2006. Good Shepherd Medical Center. Hermiston, Oregon. Quick BT Facts. Facts About Brain Tumors. 2004. http://www.braintumor.org Quick BT Facts. Facts About Brain Tumors. 2004. http://www.braintumor.org