Age: 46
Sex: Male
Indication: Trauma
Extensive facial smash injury with right Le Fort type I, II, and III, zygomaticomaxillary complex (ZMC), and nasoorbitoethmoid (NOE) fractures. Notably, fractures involve the nasolacrimal canal and infraorbital foramen and extend superiorly through the cribriform plate on the right. There is bilateral diastasis of the zygomaticofrontal sutures.
Partially imaged acute depressed right parietal fracture with anterior continuation as a comminuted fracture of the greater wing of the right sphenoid with a comminuted fracture of the lateral wall of the right sphenoid sinus extending to involve the right carotid canal, right foramen rotundum, and right inferior orbital foramen. There is also continuation through the right frontal bone with involvement of the frontal sinus and into the lateral wall and roof of the right orbit. Additionally, there is an acute nondisplaced left parietal fracture extending into the left frontal bone, involving the left frontal sinus and extending into the lateral wall and roof of the left orbit. Bifrontal extraaxial hematomas and pneumocephalus, which can be further assessed on dedicated head CT imaging.
Herniation of orbital and retroantral fat through a right orbital floor blowout fracture and posterior maxillary wall fracture, respectively, with contour irregularity of the right medial and inferior rectus muscles. Recommend correlation with clinical signs of extraocular muscle entrapment.
Bilateral retrobulbar hemorrhage and gas without proptosis. Globes are intact.
Acute minimally displaced fracture of the right hemimandible at the base of the coronoid process extending into the condylar neck. Temporomandibular joints remain located.
Extensive hemosinus.
Extensive facial soft tissue swelling and subcutaneous emphysema.
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Reference database of normal imaging from birth to age 16
Summary of consensus guidelines for managing incidental CT findings
Index of select illustrations & videos from our courses
Visual reference for common mimics of pathology on CT
Reference database of normal imaging from birth to age 16
Summary of consensus guidelines for managing incidental CT findings
Index of select illustrations & videos from our courses
Visual reference for common mimics of pathology on CT
Pelvic MRI anatomy
Chest radiograph & CT anatomy
Abdominal CT anatomy
Cardiac CT anatomy
Brain & calvarial anatomy on CT/MRI
Cranial nerves on MRI
Shoulder MRI anatomy
Knee MRI anatomy
Resident/fellow-level anatomy
Pelvic MRI anatomy
Chest radiograph & CT anatomy
Abdominal CT anatomy
Cardiac CT anatomy
Brain & calvarial anatomy on CT/MRI
Cranial nerves on MRI
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250 cases
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250 cases
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13 cases
Coming soon
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250 cases
146 cases
372 cases
281 cases
75 cases
84 cases
97 cases
140 cases
43 cases
• Shuffle cases from our courses to simulate the mix of a call shift.
• Submit your own report before reviewing the case write-up.
• Earn up to 91 CME by completing cases in our radiology courses.
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