107. CT PLEURA, CHEST WALL

Indications	Initial evaluation of empyema/malignant pleural disease
Number of scan Acquisition/series	2
Scan Acquisition	1 Pulmonary Arterial	2 Pleural phase
Range	Clavicular heads through costophrenic angles	Clavicular heads through costophrenic angles
Care Dose 4D	On	On
Quality Reference	130 mAs	130 mAs
KV / Effective mAs / Rotation time	120 / 130 / 0.5 seconds	120 / 130 / 0.75 seconds
Detector Collimation	1.5 mm	1.5 mm
Slice Thickness	3 mm	3 mm
Pitch factor	1.3	1.3
Kernel (for initial reconstruction)	B30f	B80s
Increment	3 mm	3 mm
Image order	Cranial - Caudal	Cranial - Caudal
Oral Contrast	200 cc water on table before scan	None
IV contrast	80cc Isovue 300	No additional
Injection Rate	3 cc second	N/A
Scan Delay (sec)	25 seconds (if using 2.5 cc/second increase to 30 seconds). Use Care Bolus for cardiac disease	90 seconds
Reconstruction (Series to send to PACS)	1. Recon 3x3 B30f mediastinum medium smooth 2. Recon 3x3 B80f lung ultrasharp 3. Recon 2x1 B80f to 3D card for coronal recon. 4. Recon 3x3 B30f mediastinum medium smooth

Clinical