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Real Cases. Radiology Reasoning.
Case-based radiology education built from a radiologist’s personal clinical archive.
Neuroradiology Cases


Rim Enhancement in Extruded Disc Herniation: Just an Enhancing Ring?
Case Lumbar MRI in a 46-year-old man demonstrates a prominent extruded disc herniation at L4–L5. T1W Sagittal T2W Sagttal The disc material extends approximately 13 mm caudally from the disc space and occupies a substantial portion of the right paracentral epidural space. At this location, the anteroposterior diameter of the residual dural sac measures approximately 6 mm
RadiologyCaseDiscussion
Oct 95 min read


Subependymoma: Differential Diagnosis and Imaging Insights in Older Adults
Clinical Case Presentation Clinical Case: A 72-year-old female patient presented with non-specific headaches. She has no known history of malignancy, and her neurological examination was entirely normal. Incidental Findings: Periventricular/subcortical ischemic-gliotic foci, a small calcified meningioma, and a developmental venous anomaly (DVA). Comment: The headaches are non-specific and unlikely related to the lesion; the finding is most consistent with an incidental subepe
RadiologyCaseDiscussion
Oct 24 min read


Pitfalls in Unenhanced MRI: Spotting Small Meningiomas with Subtle Radiologic Signs
· It is the most common primary brain tumor in adults, originating from the meninges, the membrane layers surrounding the brain and spinal cord. Approximately 80-85% of cases fall into the World Health Organization (WHO) Grade 1 category and are benign (slow-growing). Rather than invading brain tissue, they generally exert pressure by compressing it from the outside. · In daily radiology practice, small asymptomatic meningiomas are frequently encountered as inci
RadiologyCaseDiscussion
Sep 292 min read


Incidental Finding on Chest Radiograph: T1 Posterior Element Fusion Defect (Spina Bifida Occulta)
In daily radiological practice, the posterior-anterior (PA) chest radiograph is a fundamental diagnostic tool. While primarily utilized to evaluate the pulmonary parenchyma, a systematic approach to the "bone window" can uncover crucial anatomical variations. In this clinical article, we review a T1 vertebra posterior element fusion defect (Spina Bifida Occulta) incidentally identified during a routine pre-employment / military health board examination. 1. Fundamental Concept
RadiologyCaseDiscussion
Sep 282 min read


Intradiploic Epidermoid Cyst :A Mystery in the Mastoid Bone_Case No: NR.1.5.1.2.002
Clinical Profile Patient: 25-year-old female. Presentation: Slow-growing, painless, firm swelling in the left mastoid region. Radiological Findings: 1. CT: The Architecture A well-defined, lytic lesion significantly expanding the outer table of the left mastoid bone. The sclerotic margins indicate a slow-growing, benign process. 2. MRI: Tissue Identity T1W Axial T2W Axial T1: Hypointense. T2: Heterog eneously hyperintense. Contrast T1: No internal enhancement, but minimal p
RadiologyCaseDiscussion
Apr 231 min read


Curvilinear Pericallosal Lipoma-Case Discussion CaseNo NR.1.4.1.1.001
Clinical History: 35-year-old female, incidental finding. Radiological Findings: Sagittal T1W T1-hyperintense lesion extending the callosal sulcus Sagittal section clearly demonstrate the curvilinear morphology and its relationship with the corpus callosum A thin, curvilinear T1-hyperintense lesion is observed extending along the callosal sulcus, following the dorsal aspect of the corpus callosum. The signal characteristics are consistent with fat. There is no associated co
RadiologyCaseDiscussion
Feb 151 min read


Fahr’s Syndrome: A Multidisciplinary Analysis of Clinical and Radiological Findings
Can Imaging Speak? A Comprehensive Case Study on BG-Thalamic Calcifications 🔍 Patient Information: Age/Sex: 70-year-old male Complaint: Dizziness, balance disturbance History: Similar calcifications were noted on a brain CT performed 6 years ago. Imaging: New brain CT and MRI show bilateral basal ganglia and thalamic calcifications. Laboratory: Blood glucose: 123 mg/dL (borderline diabetic, but not acutely significant) Calcium and phosphorus: Normal PTH and magnesi
RadiologyCaseDiscussion
Aug 6, 20252 min read
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