8th Baltic Congress of Radiology

08.10.2022  Tallinn, Estonia

Top 10 frequently missed imaging diagnoses in the H&N

Deborah Shatzkes (United States of America)
Director of Head & Neck Imaging for, the New York Head & Neck Institute and Lenox Hill Hospital in Manhattan
Biography: Professor of Radiology and Otolaryngology at Zucker School of Medicine at Hofstra/Northwell. Dr. Shatzkes is Professor of Radiology and Otolaryngology at the Zucker School of Medicine at Hofstra-Northwell, and Chief of Head & Neck Imaging at Lenox Hill Hospital in New York City. She is a cum laude graduate of Barnard College and SUNY Downstate Medical Center. She completed her radiology residency at Downstate followed by a fellowship in neuroradiology at NYU Medical Center, and has been practicing exclusively head and neck radiology for the past 15 years. Dr. Shatzkes is first past president of the American Society of Head & Neck Radiology and was program chair for the 2018 annual meeting in Savannah, Georgia. She has both written and reviewed for numerous radiology and surgery journals, and has extensive committee service for ASHNR, ASNR, ABR, RSNA, ACR and AAO-HNS. Dr. Shatzkes is on the faculty of the American Institute for Radiologic Pathology (AIRP, formerly AFIP), whose 4-week course is attended by the majority of U.S. and many international radiology residents. She is a frequent lecturer on Head & Neck imaging topics both nationally and internationally.

Presentation

Black Box

Synopsis: Some of the reasons that Head & Neck imaging studies may be misinterpreted include:

  • Lesions may be subtle and inconspicuous on imaging studies (e.g. fenestral otosclerosis)
  • Lesions may be misinterpreted as representing other entities (e.g. cystic nodal metastases in HPV-related oropharyngeal carcinoma diagnosed as branchial cleft cysts)
  • The reader may be distracted by findings that are remote from actual site of primary pathology (submandibular sialolithiasis with sialadenitis)
  • The reader may focus on a portion of an examination and fail to identify relevant pathology on the "corners" of the study (e.g. "Bell Palsy" with parotid primary tumors missed on IAC studies)
  • Normal anatomic variants may be misinterpreted as disease (e.g. mylohyoid defects with herniation of salivary tissue)

This agenda item is presented in the following session: S4-1 Head and Neck Radiology

Plenary session

07.10.2022 16:00 - 17:30