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✅ The anterior pituitary may show T1↑ like the posterior, mimicking hemorrhage.
✅ The subthalamic nucleus and globus pallidus show T1↑,
💡 A small subdural hematoma: Associated w/ vaginal delivery.
www.medicalk.net/jspr_journal...
✅ The anterior pituitary may show T1↑ like the posterior, mimicking hemorrhage.
✅ The subthalamic nucleus and globus pallidus show T1↑,
💡 A small subdural hematoma: Associated w/ vaginal delivery.
www.medicalk.net/jspr_journal...
CT:
✅ Well-defined mass
✅ Irregular linear ossified components
✅ Low-attenuation fatty background
✅ No continuity with adjacent bone
MRI:
✅ T1: ↑ (fat) + ↓ (bone)
✅ T2: ↑ (fat) + ↓ (bone) + focal ↑ (soft tissue)
✅ No contrast enhancement → Poor vascularity
CT:
✅ Well-defined mass
✅ Irregular linear ossified components
✅ Low-attenuation fatty background
✅ No continuity with adjacent bone
MRI:
✅ T1: ↑ (fat) + ↓ (bone)
✅ T2: ↑ (fat) + ↓ (bone) + focal ↑ (soft tissue)
✅ No contrast enhancement → Poor vascularity
MRI
✅ Strong hyperintensity on T2WI
✅ Homogeneous
✅ Extension from intrasellar to suprasellar
✅ Dumbbell shape
💡 When all 4 findings are present
⇨ sensitivity 87.5%, specificity 96.3%
PMID: 12812943
MRI
✅ Strong hyperintensity on T2WI
✅ Homogeneous
✅ Extension from intrasellar to suprasellar
✅ Dumbbell shape
💡 When all 4 findings are present
⇨ sensitivity 87.5%, specificity 96.3%
PMID: 12812943
💡 MRI
✅ T2 diffuse hyperintensity - most sensitive
✅ Serpiginous flow voids - most specific
✅ Conus hyperintensity in 90% of cases
✅ Fistula location often distant from max MRI signal abnormality
#Rdiag #RadSky #MedSky #NeuroRad #FOAMed
doi.org/10.53347/rID...
💡 MRI
✅ T2 diffuse hyperintensity - most sensitive
✅ Serpiginous flow voids - most specific
✅ Conus hyperintensity in 90% of cases
✅ Fistula location often distant from max MRI signal abnormality
#Rdiag #RadSky #MedSky #NeuroRad #FOAMed
doi.org/10.53347/rID...
✅ Pinhole pons appearance
- pontine hypoplasia, fourth ventricle floor depression
✅ Butterfly medulla
- absent cuneate/gracile nuclei, prominent olivary nuclei
✅ Absent pyramidal decussation and transverse pontine fibers on tractography
✅ Pinhole pons appearance
- pontine hypoplasia, fourth ventricle floor depression
✅ Butterfly medulla
- absent cuneate/gracile nuclei, prominent olivary nuclei
✅ Absent pyramidal decussation and transverse pontine fibers on tractography
💡 Basal ganglia cystic degeneration in advanced stages
🩻 MRI
T2∗WI: Earliest finding → Marked ↓ signal (iron deposition)
T2WI: ↓ Signal (iron) in early stage, ↑ Edema/Gliosis in middle stage
Atrophy: Frontal lobe, cerebellum
PMID: 21808735
💡 Basal ganglia cystic degeneration in advanced stages
🩻 MRI
T2∗WI: Earliest finding → Marked ↓ signal (iron deposition)
T2WI: ↓ Signal (iron) in early stage, ↑ Edema/Gliosis in middle stage
Atrophy: Frontal lobe, cerebellum
PMID: 21808735