Spectral CT
Truth in beauty and beauty in layers...

Cases

Bowel ischemia

Acute onset severe abdominal pain in female with history of diffuse liver metastasis.

Conventional CT shows SMA clot (red arrow).

40 keV images show perfused jejunum, with abrupt cutoff near the midline and non-enhancement of the entire ilium.

Also note pneumatosis and free air. Patient passed away shortly after scan.

Gopal PunjabiComment