Week’s Case Of The Week From 7/26/20:
History: Sudden onset of seizures.
What is the study’s limitation? Metallic artifact at the left frontal region
What is the differential diagnosis/most likely diagnosis? Left inferior frontal gray matter abnormal signal, not in a typical distribution of a vascular territory. Consider encephalitis, possibly herpes. Neoplasm unlikely.
What would you recommend to do next? Correlate with a lumbar puncture for infection workup.
Week’s Case Of The Week From 7/19/20:
History: GI Bleeding.
What is the pertinent finding on the nuclear medicine study? Hyperemia at the left upper quadrant.
What radiopharmaceutical is used? Tc99m tagged red blood cells.
Based on both studies was is the most likely differential diagnosis? Collaterals from proximal venous obstruction. (either SVC or more proximal obstruction). No GI bleeding.
Week’s Case Of The Week From 7/12/20:
History: Headaches.
Describe the findings. Bubbly appearing lesion that is T2 bright and T2 dark (fluid signal) without enhancement at the confluence of the transverse and sagittal sinuses. No significant restricted diffusion.
What is the most likely differential diagnosis? Giant arachnoid granulation vs. sinus pericranii
What should you do next? Benign lesion. No further workup.
This Week’s Case Of The Week From 7/5/20:
History: Abdominal pain.
What genetic disorder does this patient most likely have? Autosomal dominant polycystic kidney disease.
What is the most likely cause of the patient’s symptoms? Hemorrhage into one of the left renal cysts with accompanying inflammatory changes causing abdominal pain.
