- Reliable Initial Trauma CT Findings of Supraclavicular Brachial Plexus Injury in Patients Sustaining Blunt Injuries
A case (n = 36) - control (n = 50) study aimed to identify CT findings of supraclavicular brachial plexus injuries to discern who may require further evaluation with MR imaging. The results showed that scalene muscle edema/enlargement and interscalene fat pad effacement were most strongly associated with brachial plexus injury and demonstrated good sensitivity and specificity. These findings are best assessed with a soft-tissue reconstruction kernel; therefore, this should be incorporated as part of the trauma CT cervical spine assessment.
- Ecchordosis Physaliphora: Does It Even Exist?
Notochordal lesions span a spectrum of disease ranging from benign notochordal remnant (ecchordosis physaliphora) to low-grade to aggressively malignant. Benign notochordal remnant cannot be reliably distinguished from low-grade chordoma as they may have overlapping imaging features. Repeat imaging, beginning at 6-month intervals, is a more clinically relevant method for evaluating the malignant potential of these lesions.