Appendiceal imaging: which test is best?

Radiologic imaging has been clearly shown to be useful for the evaluation of patients clinically suspected of having appendicitis with CT and ultrasound being the most frequently recommended modalities. However, controversy still exists as to which modality is the technique of choice for appendiceal imaging. Our experience has led us to conclude that a standard helical abdominopelvic CT is the initial test of choice for the evaluation of the adult patient suspected of having acute appendicitis.

Correlation between presumed sinusitis-induced pain and paranasal sinus computed tomographic findings.

Background: The correlation between facial and/or head pain in patients clinically suspected of having sinusitis and actual localized findings on sinus computed tomographic (CT) imaging are poorly understood.

Objective: To prospectively evaluate the relationship of paranasal sinus pain symptoms with CT imaging.

Methods: Two hundred consecutive patients referred by otolaryngologists and internists for CT of the paranasal sinuses participated by completing a questionnaire immediately before undergoing CT.