Sunday, June 1, 2014

Quiz #29: CT scan, Vascular Anomaly

Quiz 29: CT scan (Vascular Anomaly)
CT scan images from a 8-mo old boy with stridor, vomiting and weighs 5.6 kg. Figure 1 shows Anterior and Left lateral views. Figure 2 shows 3D reconstruction of trachea-bronchial tree (Barium swallow was not performed).
Questions:
1)      What is the arch sidedness?
2)      What is the diagnosis?
3)      Does the patient need intervention and why?
(Click on the image to enlarge)