Nafi Aygun - Head and Neck Imaging, (Case Review)

Head and Neck Imaging
CASE REVIEW

Series Editor

David M. Yousem, MD, MBA

Director of Neuroradiology and Professor of Radiology

Vice Chairman of Program Development

Russell H. Morgan Department of Radiology and Radiological Sciences

Johns Hopkins Medical Institution

Baltimore, Maryland

Other Volumes in the CASE REVIEW Series

Brain Imaging

Breast Imaging

Cardiac Imaging

Emergency Radiology

Gastrointestinal Imaging, Second Edition

General and Vascular Ultrasound, Second Edition

Genitourinary Imaging, Second Edition

Musculoskeletal Imaging, Second Edition

Nuclear Medicine, Second Edition

Obstetric and Gynecologic Ultrasound, Second Edition

Pediatric Imaging

Spine Imaging, Second Edition

Thoracic Imaging

Vascular and Interventional Imaging

CASE REVIEW

THIRD EDITION

Nafi Aygun, MD

Assistant Professor of Radiology

Johns Hopkins Hospital

Baltimore, Maryland

David M. Yousem, MD, MBA

Director of Neuroradiology and Professor of Radiology

Vice Chairman of Program Development

Russell H. Morgan Department of Radiology and Radiological Sciences

Johns Hopkins Medical Institution

Baltimore, Maryland

CASE REVIEW SERIES

1600 John F. Kennedy Boulevard

Suite 1800

Philadelphia, PA 19103-2899

HEAD AND NECK IMAGING: CASE REVIEW, THIRD EDITION ISBN: 978-0-323-07894-8

Copyright 2011, 2006, 1998 by Mosby, Inc., an affiliate of Elsevier Inc.

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the Publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2006, 1998.

International Standard Book Number: 978-0-323-07894-8

Acquisitions Editor: Rebecca Gaertner

Publishing Services Manager: Pat Joiner-Myers

Project Manager: Marlene Weeks

Design Direction: Steven Stave

To my wife, Meral, who is my inspiration and refuge.

NA

To all the residents, fellows, and trainees preparing for exams and the world to follow: Good luck. I hope this is helpful on your journey.

To Kelly, the LOML: I love you always and all ways.

To my kids and extended family: Thanks for the love and support as always.

DMY

I have been very gratified by the popularity and positive feedback that the authors of the Case Review Series have received upon the publication of the first and second edition of their volumes. Reviews in journals and word-of-mouth comments have been uniformly favorable. The authors have done an outstanding job in filling the niche of an affordable, easy-reading, case-based learning tool that supplements the material in THE REQUISITES Series. I have been told by residents, fellows, and practicing radiologists that the Case Review Series books are the ideal means for studying for oral boards and subspecialty certification tests.

It was recognized that while some students learn best in a noninteractive study-book mode, others need the anxiety or excitement of being quizzed or put on the hot seat. The selected format for the Case Review Series (which consists of showing a limited number of images needed to construct a differential diagnosis and then asking a few clinical and imaging questions) was designed to simulate the boards experience. The only difference is that the Case Review Series books provide the correct answer and immediate feedback. The limit and range of the readers knowledge is tested through scaled cases; ranging from relatively easy to very hard. The Case Review Series also offers a brief authors commentary, a link back to THE REQUISITES volume, and an up-to-date reference in the provided literature.

Because of the popularity of the series, we have been rolling out the second and third editions of the Case Review Series volumes. The expectation is that the these editions will bring the content up to the current knowledge limits of the field, introduce new modalities and new techniques, and provide new and even more graphic examples of pathology. To adjust to the upcoming change from an oral boards examination to a computer-based one, the Case Review Series is also changing. Our intention is to move to an even more engaging live platform through the use of the Internet. Thus, the questions are being reframed into multiple-choice format, the links will be dynamic to online references, and feedback will be interactive with correct and incorrect answers. Please see the website www.casereviewsonline.com to see how the Case Review Series is evolving to best prepare trainees for the boards and practitioners for reading specialty cases. Personally, I am very excited about the future. Join us.

It has been fun trying to marry the printed word with the ability to interact with the reader/browser. I myself still prefer a hard copy book to cart with me from place to place with or without Internet access, but I understand that the 21st century learner should have multiple options at his or her disposal to best learn this difficult material.

Most of my readers know that some of my best ideas actually come from them. I am a frequent traveler to auntminnie.com, where the feedback from residents, fellows, and radiology practitioners has been quite helpful in designing the latest versions of the Case Review Series. Thanks to all the commenters on the blog. You rule. Of course, I have also taken quite a few hits on AM as trainees often dismiss head and neck radiology as not critical for the boardswhich is true. However, the radiologist who masters the head and neck becomes a valuable resource to the academic team as well as the private practice group. It is a great feeling to be the go to person in head and neck, since so few people are comfortable with this area. Therefore, even though there may only be one, two, or three cases in the residency boards in head and neck, it is still very fulfilling to learn this material. As one advances to subspecialty boards where head and neck may be one third of the cases shown, this volume may play a greater role in ones preparation for the exam. However, even in practice, the head and neck imaging volume may serve the purpose of enabling greater aptitude in a weak area in ones imaging armamentarium.