Chad Miller

All articles by Chad Miller

Cerebral Vasculitis

Preliminary Diagnosis: Cerebral Casculitis I. What imaging technique is first-line for this diagnosis? Contrast MRI of the brain with MRA of the head II. Describe the advantages and disadvantages of this technique for diagnosis of cerebral vasculitis. Advantages Able to detail gray and white matter with exquisite detail Able to localize the anterior and posterior…

Carotid Dissection

Preliminary Diagnosis: Carotid Dissection I. What imaging technique is first-line for this diagnosis? CTA of the head and neck with IV contrast II. Describe the advantages and disadvantages of this technique for diagnosis of carotid dissection. Advantages Highly sensitive and specific in diagnosing and detailing the extent of the carotid dissection Able to exquisitely visualize…

Cardiomyopathy

Preliminary Diagnosis: Cardiomyopathy I. What imaging technique is first-line for this diagnosis? 2-D echocardiography II. Describe the advantages and disadvantages of this technique for diagnosis of cardiomyopathy. Advantages Can assess for chamber dilatation, myocardial wall thinning or thickening, abnormal ejection fraction and increased end-diastolic volume, systolic obstruction DiagnosticContinue Reading Disadvantages Imaging may be limited by…

Bronchogenic/enteric/pleuropericardial cyst

Preliminary Diagnosis: Bronchogenic/Enteric/Pleuropericardial Cyst I. What imaging technique is first-line for this diagnosis? Chest radiographs: PA and lateral views and a dedicated abdominal series of radiographs II. Describe the advantages and disadvantages of this technique for diagnosis of bronchogenic/enteric/pleuropericardial cyst. Advantages Highly portable Inexpensive relative to other modalities Exposes patients to minimal ionizing radiationContinue Reading…

Breast Cancer

Preliminary Diagnosis: Breast Cancer I. What imaging technique is first-line for this diagnosis Dedicated mammographic evaluation of the bilateral breasts. II. Describe the advantages and disadvantages of this technique for diagnosis of Breast Cancer. Advantages Highly sensitive and specific imaging modality in detecting abnormalities of the breast. Gold standard in detecting breast abnormalities. May help…

Bell's Palsy

Preliminary Diagnosis: Bell's Palsy I. What imaging technique is first-line for this diagnosis? MRI of the brain with contrast, 7th cranial nerve protocol II. Describe the advantages and disadvantages of this technique for diagnosis of Bell's palsy. Advantages Can define and characterize the 7th cranial nerve from the brainstem throught the parotid in all three…

Benign Prostatic Hypertrophy

Preliminary Diagnosis: Benign Prostatic Hypertrophy I. What imaging technique is first-line for this diagnosis? CT of the abdomen and pelvis with intravenous contrast and/or CT urography/cystography II. Describe the advantages and disadvantages of this technique for diagnosis of benign prostatic hypertrophy. Advantages Relatively quick imaging modality Offers exquisite detail of the underlying and surrounding anatomical…

Atrial Septal Defect

Preliminary Diagnosis: Atrial Septal Defect I. What imaging technique is first-line for this diagnosis 2-D Echocardiography II. Describe the advantages and disadvantages of this technique for diagnosis. Advantages Highly portable imaging modality. Does not expose patients to ionizing radiation. Highly sensitive and specific in detecting cardiac structural abnormalities and cardiac chamber pressures.Continue Reading Disadvantages Limited…

Aortic Insufficiency

Preliminary Diagnosis: Aortic Insufficiency I. What imaging technique is first-line for this diagnosis? Gray scale and color Doppler echocardiography (transesophageal offers better resolution than transthoracic) II. Describe the advantages and disadvantages of this technique for diagnosis of aortic insufficiency. Advantages Highly portable, fast, and relatively inexpensive imaging modality Does not expose patients to ionizing radiation…

Aortic Sclerosis

Preliminary Diagnosis: Aortic Sclerosis I. What imaging technique is first-line for this diagnosis Gray scale and color doppler echocardiography (transesophageal offers better resolution compared to transthoracic) II. Describe the advantages and disadvantages of this technique for diagnosis of Aortic Stenosis. Advantages Highly portable, fast, and relatively inexpensive imaging modality. Does not expose patients to ionizing…

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