2023 Friday Quiz 22 | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

2023 Friday Quiz 22

Axial CT of the head shows mild right-sided volume loss and cortical calcifications.

What is your differential diagnosis for this finding?

The author made an update to this case

Update 1

2023 Friday Quiz 22 Answer has been posted! Go to our profile page to see more images and the diagnosis

More about this case

Why you should join Figure 1

Similar cases


Axial chest CT obtained at two levels in a patient with Gaucher disease shows diffuse interstitial thickening throughout both lungs. Gaucher disease is an autosomal recessive lysosomal storage disease. In this disorder, a deficiency in glucocerebrosidase results in the accumulation of glucocerebrosides in macrophages of the reticuloendothelial system. Pulmonary involvement in Gaucher disease is a sign of more severe disease.](https://app.figure1.com/case-detail/149aea57-f383-45b5-acbf-b3af5a58947a)


Coronal ultrasound images of the brain obtained 1 day apart (image 1 was obtained one day after image 2) in an infant with congenital heart disease shows a considerable difference in the appearance of the brain, ventricular size, extra-axial spaces, and corticomedullary differentiation (arrow). CT (image 3) performed shortly after the ultrasound shows diffuse edema, loss of corticomedullary differentiation, and lack of visible cortical sulcation. Neonatal hypoxic ischemic encephalopathy occurs as a result of global decreased oxygenation. It can occur during pregnancy, during labor and delivery, or postnatally. In the postnatal setting, hypoxic ischemic encephalopathy is most commonly associated with severe lung or heart disease or infection.](https://app.figure1.com/case-detail/3a0d3980-70d6-464a-9901-6a975eb5610f)


Male, 1 year and 4 months old, with unfavorable prenatal history, preterm delivery, sepsis, and admitted in incubator for 20 days, presents to the neurology office with a cranial MRI. The pt presents with possible focal motor seizures in the left hemibody involving dorsal muscles, upper limbs and face. According to the radiological study there is a unilateral periventricular leukomalacia type lesion. Currently the pt is stable, tolerates oral administration, does not present focal motor seizures for the moment. What do you observe in the imaging studies, any important finding, what is the clinical correlation, what approach do you suggest?](https://app.figure1.com/case-detail/3d4d3eb7-bfff-4d95-9bcd-25d1acbdc2b2)


This is the famous artery of Percheron, that we are drilled with when we are rotating stroke ward.... It is rare, not seen routinely, once you see it, hard to forget.....
65F, who came with aLOC, disconjugate (R eye upward) and right shoulder with involuntary movements (??).
Initial CTA showed a Left Fetal PCA, which would be the substrate for a Percheron artery, that got occluded likely. Initial NIH was 30 (she was barely moving any limb), post TNK, MRI showed bilateral medial thalami DWI lesions.
NIH at discharge is 4.
Classic symptoms associated with bilat medial thalamic infarcts include: restricted upgaze, aLOC and memory issues.
Other potential causes when you see bilateral infarcts: Malignancy, CVST, APLA.
#loveneurology](https://app.figure1.com/case-detail/5cf421c5-1e4c-43ec-bcac-acff2e25c619)

Trending now


A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)


A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)