Critical Imaging Diagnoses: - Radiology

Critical Imaging Diagnoses: - Radiology Critical Imaging Diagnoses: - Radiology

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MR and CT Imaging Checklists • Anatomic Locations – Sagittal Images • Sup. Sag. Sinus • Corpus Callosum • Sella Region • Clivus – Axial Images • Skull, Epi/Sub Dural • SAS • Cortical Gray Matter • White Matter • Deep Gray Matter • Ventricles Positional Headaches 3 rd Ventricle Cysticercosis MR and CT Imaging Checklists • Anatomic Locations – Sagittal Images • Sup. Sag. Sinus • Corpus Callosum • Sella Region • Clivus – Axial Images • Skull, Epi/Sub Dural • SAS • Cortical Gray Matter • White Matter • Deep Gray Matter • Ventricles MR and CT Imaging Checklists • Anatomic Locations – Sagittal Images • Sup. Sag. Sinus • Corpus Callosum • Sella Region • Clivus – Axial Images • Skull, Epi/Sub Dural • SAS • Cortical Gray Matter • White Matter • Deep Gray Matter • Ventricles Intraventricular Meningioma McCain - Palin - Smirniotopoulos John … How did we Lose?

MR and CT Imaging Checklists MR and CT Imaging Checklists • Anatomic Locations – Sagittal Images • Sup. Sag. Sinus • Corpus Callosum • Sella Region • Clivus – Axial Images • Skull, Epi/Sub Dural • SAS • Cortical Gray Matter • White Matter • Deep Gray Matter • Ventricles • Morphologic Features – Mass Effect • Yes, proportional • Less than expected • No mass effect – Abnormal WM Signal • Vasogenic Edema • Demyelination • Infiltrating neoplasm – Ring Lesion • Necrotic Neoplasm • Reactive (e.g. abscess) • Fluid or Inflammatory • Morphologic Features – Mass Effect • Yes, proportional • Less than expected • No mass effect – Abnormal WM Signal • Vasogenic Edema • Demyelination • Infiltrating neoplasm – Ring Lesion • Necrotic Neoplasm • Reactive (e.g. abscess) • Fluid or Inflammatory MR and CT Imaging Checklists Obtunded w/blown pupil • Morphologic Features – Mass Effect • Yes, proportional • Less than expected • No mass effect – Abnormal WM Signal • Vasogenic Edema • Demyelination • Infiltrating neoplasm – Ring Lesion • Necrotic Neoplasm • Reactive (e.g. abscess) • Fluid or Inflammatory Brain Herniation Syndromes t f t Brain Herniation Syndromes Pupillary Reaction f C t U M t T T Blown Pupil: CNN3 (Oculomotor) nerve ipsilateral to the mass lesion. Note CNN4

MR and CT <strong>Imaging</strong> Checklists<br />

• Anatomic Locations<br />

– Sagittal Images<br />

• Sup. Sag. Sinus<br />

• Corpus Callosum<br />

• Sella Region<br />

• Clivus<br />

– Axial Images<br />

• Skull, Epi/Sub Dural<br />

• SAS<br />

• Cortical Gray Matter<br />

• White Matter<br />

• Deep Gray Matter<br />

• Ventricles<br />

Positional Headaches<br />

3 rd Ventricle Cysticercosis<br />

MR and CT <strong>Imaging</strong> Checklists<br />

• Anatomic Locations<br />

– Sagittal Images<br />

• Sup. Sag. Sinus<br />

• Corpus Callosum<br />

• Sella Region<br />

• Clivus<br />

– Axial Images<br />

• Skull, Epi/Sub Dural<br />

• SAS<br />

• Cortical Gray Matter<br />

• White Matter<br />

• Deep Gray Matter<br />

• Ventricles<br />

MR and CT <strong>Imaging</strong> Checklists<br />

• Anatomic Locations<br />

– Sagittal Images<br />

• Sup. Sag. Sinus<br />

• Corpus Callosum<br />

• Sella Region<br />

• Clivus<br />

– Axial Images<br />

• Skull, Epi/Sub Dural<br />

• SAS<br />

• Cortical Gray Matter<br />

• White Matter<br />

• Deep Gray Matter<br />

• Ventricles<br />

Intraventricular Meningioma<br />

McCain - Palin - Smirniotopoulos<br />

John … How did<br />

we Lose?

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