331 results for “CT imaging”
89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…
…with Parkinson's disease fell at home on 16 August 2016, sustaining a cervical spine fracture. Initial CT imaging missed the C5 inferior articular process fracture, reporting only a paraspinal haematoma. Conservative ma…
49y · Female·Widespread small and large bowel, splenic and hepatic infarction secondary to se…
Susan Bourke, a 49-year-old woman, died from widespread small and large bowel infarction secondary to severe aortic atherosclerosis causing critical stenosis of the superior mesenteric and coeliac arteries. She presented…
71y · Female·aortic dissection (Stanford Type A)
…ly communicated from radiology to cardiology. A consultant radiologist's amendment recommending repeat CT imaging with ECG gating was apparently not acted upon. The treating team did not fully reconsider aortic dissecti…
81y · Male·acute subdural haematoma
…t perform a head CT scan despite clear evidence of head injury. The Canadian CT Head Rule, which mandates imaging for patients over 65 with head strike, was apparently considered but not executed. Two days later, he det…
69y · Male·thoracic aortic aneurysm with dissection
…nicians to maintain high clinical suspicion for aortic dissection when symptoms are consistent, even when imaging reports appear to exclude it. The case highlights gaps in quality assurance systems for imaging services.
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…was attempted but Dwayne died from cerebral coning. The coroner found the critical failure was delayed CT imaging. Early neurological imaging on 11 April would likely have changed the outcome. The case highlights the ch…
73y · Male·Combined effects of cerebrovascular accident and subsequent iatrogenic related i…
A 73-year-old man presented to ED with acute facial droop and speech difficulty on 5 September 2020. He was misdiagnosed with Bell's palsy despite clinical features suggestive of stroke. A non-contrast CT brain (inadequa…
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
…tation was reinterpreted as abdominal pathology (suspected choledocholithiasis, later pneumonia), despite imaging showing bilateral effusions. No CT chest was ordered despite her high-risk cardiac history and the X-ray …
63y · Male·Cerebral infarction complicating vertebral artery dissection following motor veh…
…using vertebral artery dissection and subsequent cerebral infarction. At Albury Base Hospital, initial CT imaging at 10:44am identified significant cervical spine injuries, but critical imaging results (MRI and CT angio…
91y · Female·Complications of pelvic fractures sustained in a fall
…rtly after antibiotic administration and died. Post-mortem CT revealed pelvic fractures missed on initial imaging. Key clinical lessons: the initial hip x-ray failed to detect pelvic fractures that contributed to her de…
87y · Female·acute intracranial haemorrhage
…CT head scan was performed but images could not be viewed due to a GE systems outage, and she died before imaging results were available. The coroner found her medical care adequate and noted that any delay in diagnosis…
80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…
…icoagulation, causing seizures and deterioration. The coroner found the decision to anticoagulate without imaging was unsound practice and directly contributed to her death. Key lessons: always perform plain CT before a…
73y · Male·ruptured abdominal aortic aneurysm
…l experts agreed that if the AAA had been considered as a differential diagnosis and investigated with CT imaging, there was a reasonable prospect of survival. The critical lesson is that AAA must remain on the differen…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
…critical clinical lesson: elderly patients with significant falls and loss of consciousness warrant brain imaging regardless of absent neurological signs, as ICH symptoms may be silent and imaging results would have pre…
10y · Female·congenital hydrocephalus
… (ICP) but the diagnosis was significantly delayed—approximately 90-100 minutes—because previous CT brain imaging stored at another hospital could not be electronically accessed for comparison. While her clinical presen…
56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy
… signs is atypical for stroke; when patients deteriorate on anticoagulation, therapy should be ceased and imaging repeated immediately, not escalated; and patients with significant neurological events should be transfer…
73y · Male·subdural haematoma from fall
…rm was not properly completed and no CT brain was performed. A second fall occurred on 2 February without imaging. On 3 February, he deteriorated with altered consciousness and was found to have a massive acute subdural…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
…dissection, no such diagnosis was considered by the medical team, including a consultant physician. No CT imaging was obtained. The patient arrested on 22 March and died. Autopsy revealed Type I aortic dissection with p…
77y · Female·Large acute subdural haemorrhage leading to uncal herniation subsequent to an ac…
…urs later, which were attributed to pre-existing pulmonary disease. A dilated pupil at 4:25am prompted CT imaging revealing large right-sided subdural haemorrhage with brain stem compression. Critical lessons: elderly p…
81y · Male·Head injury sustained in a fall
…mmunication protocols for critical radiological findings, recognizing that isolated IVH requires specific imaging expertise, and implementing systems that detect human error before patient harm occurs.
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