4. Systemic Approach to Head CT
Interpretation
• Symmetry – Compare left and right side of the cranium
• Midline – Look for midline shift
• Cross-sectional anatomy – Review anatomical landmark for
each slide
– Brain tissue : gray matter, white matter , intracerebral lesions
– CSF space : ventricle, basal cistern, cortical sulci, fissure
– Skull and soft tissue : scalp swelling, fractures, sinuses, orbit
• Subdural windows : Look for blood collection adjacent to the
skull
• Bone windows : Skull, orbit and sinuses, intracranial air