There are vascular extensions such as SlicerVMTK extensions that may be needed to be downloaded. You need to go to the extension section and import all vessel extensions. Vessel segmentations tutorial can be found here (Overview | 3D Slicer segmentation recipes).
@Msdstc looking at your Styloids. They definitely appear long and makes me wonder if these are prior to the recent surgery. I have no doubt that they are severely compressing your jugular veins by just looking at the faint signal of them.
They definitely are… my question is, do I need work on c1 as well? I’ve had 2 surgeries and basically nothing to show for it, but I know Hackman can fully remove those styloids
Was the CT a contrast enhanced or regular CT? If it is regular CT I am afraid you won’t be able to see the vascular system very well as the signal will be weak and indifferentiable from normal tissues. Contrast enhanced should make the vascular system visible.
It looks to me like Dr. Annino did remove your styloids up close to the skull base, and what’s left is a section of calcified stylohyoid ligament on each side. Note that what’s left seems to be “free floating” i.e. not attached at either end. Typically when we see that, it’s ligament calcification not styloid elongation. Some doctors remove the styloids but disregard ligament calcification farther down. It can be as problematic as the elongated styloids are, thus both styloids/calcified ligaments need to be removed for good symptoms recovery.
I can see what @KoolDude is referring to as well as the calcification that has been left appears to be right up against the tps of your C-1 vertebra.
Perhaps I’m wrong but that’s what my perception of your images is.
Actually I was assuming those were glitches or something. Dr Annino only worked on one side the right one and you can’t actually see the difference he made.
Oops! My mistake. I remember you saying you had two different doctors operate to shorten the styloids. That doesn’t change my opinion of what I see on your scan though. Definitely looks to me like ligament calcification disassociated from the styloids.
Could definitely be ligament calcification, or imaging artifact. But another option could be fractured styloids, especially if they’ve been operated on but not removed. They look pretty similar to this:
Are they on our list, @Msdstc? I gave it a quick read but didn’t see their names (didn’t check every state). If not, you’ll have to let us know how your consult goes. We’re always looking for doctors to add.