Age: 48
Sex: Female
Indication: Seizure, obtunded
Acute intraparenchymal hematoma in the posterior right temporal lobe measuring 4.5 x 3.5 x 2 cm (calculated volume = 16 mL) with mild surrounding vasogenic edema and resultant mild local mass effect resulting in partial effacement of the temporal horn of the right lateral ventricle. No midline shift or evidence of herniation or hydrocephalus. Given location and the presence of multiple small additional acute infarcts, this is favored to represent hemorrhagic transformation of an infarct. Hypertensive hemorrhage is thought less likely given location.
Multiple small acute infarcts involving the bilateral cerebrum and left cerebellar hemisphere without additional sites of hemorrhagic transformation.
Multiple foci of susceptibility artifact involving the bilateral cerebral and cerebellar hemispheres as well as the midbrain and pons, compatible with sequela of prior microhemorrhage. While amyloid angiopathy could have this appearance, this would be atypical for patient age.
Age-advanced generalized cerebral atrophy and small vessel disease.
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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
Shoulder MRI anatomy
Knee MRI anatomy
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250 cases
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Coming soon
250 cases
146 cases
105 cases
13 cases
Coming soon
• Claim your CME to receive a certificate.
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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.
• Claim your CME to receive a certificate.
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