Critical Imaging Diagnoses: - Radiology
Critical Imaging Diagnoses: - Radiology Critical Imaging Diagnoses: - Radiology
Chordoma Bulky Clival Mass Chordoma Midline Bone Destruction 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 Depressed Skull Fx 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 Small EDH, no herniation, can be managed with observation ☺ Smile of the Quadrigeminal Cistern
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 2 y.o. with Lethargy Child Abuse? 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 Headache, Kernig & Brudzinski+ History • 42 y.o. . woman with acute onset of: – “the worst headache of my life” • No papilledema • Kernig Sign + • Brudzinski Sign + Kernig sign: Pain elicited by straightening the knee with the hip/thigh flexed. Brudzinski sign: Pain and/or rigidity with simultaneous neck and knee/hip flexion. ICA Aneurysm ICA Aneurysm
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- Page 3 and 4: Lymphoma: hyperdense PCNSL FLAIR Lo
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- Page 13 and 14: 1° CNS Lymphoma 71 yo AA man with
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- Page 19 and 20: T2W - Geographic hyperintensity FLA
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Chordoma<br />
Bulky Clival Mass<br />
Chordoma<br />
Midline Bone<br />
Destruction<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 />
Depressed Skull Fx<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 />
Small EDH, no herniation, can be<br />
managed with observation<br />
☺<br />
Smile of the Quadrigeminal Cistern