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


Pleomorphic Lipoma of the Occipital Region: Imaging–Pathology Correlation in a Heterogeneous Fat-Containing Mass
Case: A 70-year-old woman underwent radiological evaluation for a longstanding, slowly enlarging mass at the back of her neck. Let us begin with the plain radiograph: Figure 1. Lateral radiograph showing the mass at the back of the neck. We see a smoothly contoured mass producing an outward bulge in the posterior neck region. Its relatively radiolucent appearance suggests fat content. However, its internal structure is not entirely homogeneous; a few millimetric radiopaque fo
RadiologyCaseDiscussion
Oct 304 min read


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


Central Schmorl’s Nodes at All Levels (Developmental Endplate Depressions)
Case: 46-year-old female patient. Figure 1a & 1b Sagittal T1- and T2-weighted MR images demonstrate multilevel central endplate depressions with similar morphology across the imaged vertebral levels. The red arrow indicates a representative depression. Disc spaces are generally preserved, although some discs show reduced T2 signal. No conspicuous surrounding bone marrow edema is evident on the provided images Radiological Findings: Symmetrically located Schmorl’s nodes are ob
RadiologyCaseDiscussion
Sep 242 min read


Understanding Emphysematous Pyelitis: Key Insights for Radiology Professionals
Definition and Key Features Emphysematous pyelitis is a condition where gas is confined to the pelvicalyceal system. Importantly, there is no involvement of the renal parenchyma. This condition is most commonly linked with obstructive urinary tract infections, such as those caused by stones. Gas-producing bacteria, particularly E. coli, are often responsible. It's worth noting that this condition frequently occurs in diabetic patients. Radiological Findings Plain Radiograph O
RadiologyCaseDiscussion
May 103 min read


Late-Stage Perthes Sequelae in Adulthood: A Case Study
Chief Complaint: 67 -year-old male, Left hip pain persisting for 20 years, becoming progressive over the last 2 years, accompanied by a significant limp. History: A history of untreated/undiagnosed hip disorder during childhood (consistent with late-stage Perthes sequelae). Physical Examination: 2 cm shortening of the left lower extremity, positive Trendelenburg sign, and severe restriction in the range of motion (ROM) in all directions. Radiological Findings: Fig 1: Coxa
RadiologyCaseDiscussion
Apr 112 min read
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