Head & Neck
H&N cancer staging, sinonasal and laryngeal pathology, neck masses, thyroid, and the radiologist's value-add from T3 upward. 14 topics.
ACR TI-RADS: Thyroid Ultrasound Is Triage, Not Cataloguing
Thyroid US is triage, not cataloguing: recognize the dismissible nodule patterns fast, point your scoring only at the few nodules that could change…
Adult Cystic Neck Mass: Cancer Until Proven Otherwise
A cystic neck mass in an adult is squamous cell carcinoma (or cystic papillary thyroid met) until proven otherwise — never default to branchial cleft…
Craniocervical Junction Trauma: Ligaments, Not Just Bones
At the craniocervical junction the grave, potentially fatal injury is often purely ligamentous with no fracture — because the CCJ is held by…
Critical Facial Fractures: A Ranked Surgical List
Report facial trauma as a ranked, complex-organized surgical list, not a laundry list: the maxillary buttress, hard palate, and mandible heal poorly…
Head & Neck CT Perfusion: Predicting Who Responds
CT perfusion is a noninvasive surrogate for tumor angiogenesis (microvascular density, potentially hypoxia); its clinically interesting use is…
Head & Neck Cancer: The Fat Planes That Stage It
Learn the oropharynx as the boundaries and fat planes that staging turns on, not as a muscle tour: correct subsite assignment (tongue base =…
Head & Neck Emergencies: The On-Call Management Forks
Head and neck infection on call is a set of management forks — pre- vs post-septal, abscess vs phlegmon, suppurative node vs retropharyngeal abscess…
Incidental Thyroid Nodules: Should It Be in Your Impression?
The decision isn't 'is it cancer' (CT/MRI can't tell) — it's whether this sentence belongs in your impression, because the impression sentence is…
Larynx: The Two Fat Spaces That Upstage It
Learn larynx anatomy because two fat spaces and one cartilage set the stage: effacement of the pre-epiglottic or paraglottic fat upstages to at least…
Pediatric Cystic Neck Mass: Location, Not Signal
A pediatric cystic neck mass is a location-and-relationship problem, not a signal problem — they all look like fluid. The compartment and what it…
Sinonasal Anatomy & the OMC: Clear the Floor First
On any superior nasal cavity mass in a child, clear the floor of the anterior fossa (cribriform/fovea ethmoidalis) before calling it a polyp — it may…
Sinonasal Maldevelopmental Lesions: One Event, One Family
One developmental event explains the whole family: a dural diverticulum dips into the prenasal space behind the nasal bone and normally regresses…
Staging Tips: Drive the Read Off Resectability
Know your lane in head & neck staging: concede T1–T2 to endoscopy and drive the imaging read off three resectability questions — deep fat invasion…