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Are the sulci abnormal?
No
Do the sulci look abnormal in this image?
No
The image probably had what incidental finding?
cavum vergae
What was probably found incidentally on this image?
cavum vergae
Describe the intensity of the abnormality seen in this image? (central vs. surrounding)
central hyperintensity and surrounding hypointensity
How would you describe the central and surrounding intesities of the abnormality seen?
central hyperintensity and surrounding hypointensity
Is this a CT or an MRI?
MRI
Was a CT or MRI used to take the above image?
MRI
Is the pathology seen hyperintense or hypointense in nature?
Hyperintense
Is the abnormality hyperintense or hypointense?
Hyperintense
This image is taken in what plane?
axial
Why are there no sulci seen in this image?
there is massive cerebral hemisphere edema
Why do you not see sulci in the image?
there is massive cerebral hemisphere edema
Is a noncontrast CT the first imaging test for a suspected brain bleed?
yes
Are the ventricles an abnormal size?
no
Is the size of the ventricles abnormal?
no
In what plane was this image taken?
axial
What plane was this image taken in?
axial
What structure in the left basal ganglia is spared?
Left thalamus
What is spared in the left basal ganglia?
Left thalamus
Pathology seen in this image?
small subdural hematoma with cerebral edema
What is the condition seen in this image?
small subdural hematoma with cerebral edema
The infarction is likely caused by what vessel?
left MCA
What vessel is likely the cause of this infarction?
left MCA
What would you call the lesions seen?
MS plaques
What is the name of the lesions seen in this image?
MS plaques
What is the vascular distribution of these infarcts?
all three vascular distributions
Where are the infarcts located?
diffuse
The pathology seen in this image is typical of what disease?
multiple sclerosis
What disease does the pathology suggest?
multiple sclerosis
In what parts of the brain are the lesions located?
cerebrum and lateral ventricles
Where do you see the lesions?
cerebrum and lateral ventricles
Where is the abnormality located?
right convexity
Where is the pathology located?
right convexity
The image shows what abnormality?
abnormal hyperintensity in the right occipital lobe
What is abnormal in this image?
abnormal hyperintensity in the right occipital lobe
Is this a sagittal plane image?
no
The image above shows an abnormality where?
hyperintensity of the left basal ganglia
Where is the abnormality in this image?
hyperintensity of the left basal ganglia
Is the grey/white matter border well differentiated?
Yes
Is there blurring of the grey-white matter junction?
No
Are the ventricles symmetrical?
No
Are the ventricles the same size?
No
What does the brighter outer ring of the lesion represent?
necrosis
What is indicated by the bright ring around the lesion?
necrosis
Are any ventricles visualized on this image?
Yes
Can you see ventricles?
Yes
What is your differential diagnoses?
metastases, infection/abcess, glioblastoma
What are the possible diagnoses?
Toxoplasma, lymphoma, abscesses, other brain tumors
Which is more likely? Cancer or hemorrhage?
Hemorrhage
Is this cancer or hemorrhage?
Cancer
what is the alternate name for lens-shaped""
lentiform
What term is synonymous with lens-shaped?
Biconvex
What is the most likely diagnosis?
epidural hematoma
What is going on with this patient?
sinusitis
Do you favor a viral process or parasitic process or other?
viral
Is this a viral or parasitic process?
Parasitic
Is mass effect obvious?
Yes
Does there seem to be a mass effect?
Yes
The dark space in the central portion of the image represents what structure(s)?
lateral ventricles
What do the dark spaces in the center show?
lateral ventricles
Do you suspect vascular process or a genetic process?
genetic
Is the etiology genetic or vascular?
Vascular
what shape would the lesion be if this were a subdural hematoma?
crescent
What shape is the lesion in a subdural hematoma?
Concave
What vascular territory is the lesion?
Right MCA
In what vascular territory is the lesion located?
Right MCA
Is this a vascular lesion
Yes
Does this lesion involve the vascular system?
Yes
What neuro deficits will are predicted by image location?
quadrantopia, aphasia, memory deficit, etc.
What deficits are suggested by the location of the lesion?
Motor weakness, sensory deficits, and left neglect
what is the most likely etiology
viral/inflammatory
What is most likely causing these lesions?
CVA
where is the pathology?
In the cortex and basal ganglia bilaterally
Where is the pathology located?
In the cortex and basal ganglia bilaterally
How can you tell the mass is hemorrhagic and pushing the optic chiasm?
Not sure
Where is the mass?
Pituitary fossa
Is gray or white matter highlighted in this image?
Gray matter
Which is highlighted in this image, white or gray matter?
Gray matter
Do the two findings have the same etiology?
yes
Is there a unified process?
No
Why does less enhancement mean less acute?
More acute means more inflammation-leading to enhancement?
What makes a lesion less acute?
Less enhancement
How do you know this is a T2 weighted image?
CSF is white.
What tells you that the image is T2?
White versus grey matter brightness
Is this an infectious process?
Maybe
Does this represent infectious process?
Yes
Is there any bleeding in this patient's brain?
No
Is there bleeding present in this patient's brain?
No
What brain structures would be affected by the lesion in the right frontal area of the brain?
basal ganglia (caudate and putamen)
Which brain structures could be affected by the lesion located in the right frontal brain area?
basal ganglia (caudate and putamen)
Where do we see multiple infarcts in the above image?
Cerebellum
Location of the multiple infarcts?
Cerebellum
Can gray-white differentiation be well assessed with this image?
No
Is there significant difference between gray and white matter here?
Yes
Is the occipital lobe visible in this image?
No
Is the occipital lobe present?
No
Is there infiltrate in the sinuses?
No
Are the sinuses abnormal?
No
What lobe is the infarct in?
Right parietal