top of page

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


High-Yield Board Review: A Posterolateral Chest Wall Lesion
System: Musculoskeletal / Chest Wall Exam Focus: High-Yield Imaging Review Key Imaging Pattern: Deep infrascapular mass with interwoven fat streaks and muscle-like soft tissue on CT 1-Clinical Vignette A 54-year-old man presents with swelling beneath the right scapula and a catching or snapping sensation during arm movements. 2. Board-Style Question Which diagnosis best explains the location and internal architecture of this lesion? A. Lipoma B. Desmoid-type fibromatosis C. E
RadiologyCaseDiscussion
Oct 133 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
bottom of page