PNS/SKULL X-RAY SCAN

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PNS/SKULL X-RAY SCAN Image

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About The Test

The PNS/Skull X-Ray Scan is a painless imaging test that captures detailed pictures of your paranasal sinuses (PNS) and skull bones. Whether you’re battling recurrent sinusitis or a recent head injury, this scan offers a quick snapshot of possible blockages, infections, or fractures. Cadabams Diagnostics leverages digital radiography to keep radiation exposure minimal while ensuring crystal-clear images.


What is PNS/Skull X-Ray Scan?

Definition & Technology Used

A PNS/Skull X-Ray Scan uses low-dose ionizing radiation to create black-and-white images of your sinuses, nasal cavity, and cranium. Our digital detectors convert X-rays into instant digital images, reducing repeat scans and shortening your visit.

Difference from CT/MRI of Sinuses

  • X-ray: 2D, 2–5 mins, lower cost, ideal for screening.
  • CT: 3D, higher radiation, best for complex sinus disease.
  • MRI: No radiation, superior soft-tissue detail, higher cost.

Types of PNS/Skull X-Ray Scan

View Purpose
Caldwell Frontal & ethmoid sinuses
Waters Maxillary sinuses & nasal cavity
Lateral Sphenoid sinuses & skull base
Submentovertex Sphenoid & ethmoid roof

List of Parameters

  • Air-fluid levels or opacities in sinuses
  • Septal deviation or bony spur
  • Fracture lines or bone erosion
  • Adenoid shadow in children
  • Mastoid air-cell clarity (lateral view)

Why This Test

  • Confirm acute bacterial sinusitis before antibiotic therapy
  • Rule out sinus obstruction causing dental pain
  • Monitor chronic sinusitis treatment response
  • Evaluate post-trauma skull integrity
  • Pre-operative mapping for ENT procedures

When to Take Test

Common Symptoms Prompting Scan

  • Persistent nasal congestion or thick nasal discharge
  • Facial pain around cheeks, forehead, or between the eyes
  • Recurrent headaches worse on bending forward
  • Suspected sinusitis or sinus polyps
  • Head injury with local tenderness or swelling

Pediatric vs Adult Indications

  • Children: Chronic nasal obstruction, suspected adenoid enlargement.
  • Adults: Chronic sinusitis evaluation before ENT referral.

Benefits

Benefits of Taking the PNS/Skull X-Ray Scan

  • Cost-effective vs CT – up to 70 % savings
  • Quick turnaround – digital images ready in 15–30 minutes
  • No contrast required – ideal for patients with kidney issues or allergies

Illnesses Diagnosed with PNS/Skull X-Ray Scan

  • Acute & chronic sinusitis
  • Nasal polyps or cysts
  • Deviated nasal septum
  • Skull fractures (linear, depressed)
  • Osteomyelitis of frontal bone

Preparing for test

Do’s

  • Remove earrings, hairpins, dentures.
  • Inform staff about pregnancy or suspected pregnancy.
  • Bring prior reports for comparison.

Don’ts

  • No fasting required.
  • No need to stop routine medications.

Pre-requisites PNS/Skull X-Ray Scan

  • Valid doctor’s prescription or digital referral
  • Government-issued ID for registration
  • Loose, metal-free clothing

Best Time to Take the PNS/Skull X-Ray Scan

  • Morning slots: Easier removal of hair accessories.
  • Same-day booking: Ideal when symptoms are at their peak, aiding accurate correlation.

Eligibility

  • Age: Newborns to geriatric patients
  • Conditions: Safe for diabetes, hypertension, asthma.
  • Exceptions: Pregnancy in first trimester (alternate ultrasound or deferred unless urgent).

Procedure for Taking a PNS/Skull X-Ray Scan

Step-by-Step Positioning

  1. Registration & Consent – 2 minutes
  2. Metal removal – 1 minute
  3. Positioning – technician aligns head per chosen view.
  4. Stillness – “Hold your breath” for 1–2 seconds.
  5. Repeat for additional views if required.

Duration & Comfort Measures

  • Total time: 5–7 minutes.
  • Soft foam headrests for neck support.
  • Parents may stay with children in protective lead aprons.

Caution Before Taking the Test

  • Always disclose pregnancy status.
  • Remove metallic hair extensions or implants.
  • Inform radiologist if you have a cochlear implant or cranial plates.

Test Results

Results and Interpretation

Result / StepDetails
Digital reportUploaded to the Cadabams patient portal within 30 minutes.
NormalClear sinus cavities, intact skull bones.
AbnormalOpacity (infection), fracture line, or deviated septum clearly labeled.
Next stepsENT or neurosurgeon referral arranged on request.

Risks & Limitations

Radiation Exposure Details

  • Effective dose: ~0.01–0.02 mSv (equal to 1–2 days of natural background).
  • Safety: ALARA principle (As Low As Reasonably Achievable) upheld at Cadabams Diagnostics.

Limitations vs CT/MRI

  • Cannot evaluate soft-tissue masses or early fungal sinusitis.
  • Limited view of posterior ethmoid & sphenoid sinuses.

FAQs

Is the PNS/Skull X-Ray Scan painful?

No. You simply stand or sit still for a few seconds.

How often can I undergo this scan?

Once symptoms resolve, repeat scans are rarely needed unless advised by your doctor.

Can children undergo this scan?

Yes. We use pediatric protocols with reduced radiation.

Will insurance cover the cost?

Most insurance plans cover the scan under ENT or accident benefits. Our front desk checks eligibility instantly.

Can I drive home after the scan?

Absolutely—no sedation or contrast is used.

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