By Girish Fatterpekar, Thomas P. Naidich, Peter M. Som
Useful and clinically centred, mind and backbone Imaging - a name within the instructing records sequence - provide you with over three hundred attention-grabbing and well-presented circumstances that can assist you higher diagnose any affliction of the mind and backbone. professional within the box, Dr. Girish Fatterpekar, MD makes use of a logical association all through, making referencing tough diagnoses more straightforward than ever earlier than. certain discussions of cutting-edge modalities and applied sciences preserve you modern, and not easy diagnostic questions probe your wisdom of the cloth. This special, case-based source will give you a great way to sharpen your diagnostic talents and examine for board checks.
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The cyst is lined by white matter that demonstrates bright signal suggestive of gliosis. In addition, foci of bright signal are seen involving the subcortical white matter diffusely (arrowheads). Figure 4. Contrast-enhanced axial T1WI demonstrates no evidence of any enhancement. Figure 5. Axial gradient-echo image demonstrates susceptibility involving the left frontal cortex (arrow). Diagnosis: Multicystic encephalomalacia. Case 23 DEMOGRAPHICS/CLINICAL HISTORY The patient is a newborn with macrocephaly and positive calvarial transillumination.
Peitsch WK, Keefer CH, LaBrie RA, Mulliken JB: Incidence of cranial asymmetry in healthy newborns, Pediatrics 110:e72, 2002. Case 25 51 Figure 1. Axial CT scan, soft-tissue window demonstrates a crescent-shaped soft-tissue lesion adjacent to the outer table of the right frontal bone. Figure 2. Corresponding axial CT scan, bone window demonstrates that this soft-tissue swelling is limited by the coronal and sagittal sutures. Diagnosis: Right frontal cephalhematoma. Figure 3. In a different patient, axial CT scan demonstrates a crescent-shaped soft-tissue lesion adjacent to the outer table of the left parietal bone.
Figure 2. Sagittal T2WI demonstrates downward displacement of peg-shaped tonsils. The classic haustral pattern of the syrinx can be appreciated. Diagnosis: Chiari I malformation with syringohydromyelia. Figure 3. In a different patient with weakness of both lower extremities and a sensory level at T6, sagittal T2WI demonstrates a syrinx that extends from the T6 level into the thoracolumbar region. Figure 4. Contrast-enhanced, fat-suppressed sagittal T1WI demonstrates no associated enhancing intramedullary lesion.