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


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
Dr.Dilek Altınsoy-Radiologist/Founder of @radiologycasediscussion
7 hours ago2 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
Dr.Dilek Altınsoy-Radiologist/Founder of @radiologycasediscussion
2 days ago2 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 demonstrating identical, symmetrical, and central endplate depressions (developmental Schmorl’s nodes) across all thoracolumbar levels (red arrow). Note the completely preserved intervertebral disc heights, normal signal intensity, and the total absence of surrounding bone marrow edema or Modic changes on both sequences. Radiological Findings: Symmetrically located Schmorl’s nodes are obs
Dr.Dilek Altınsoy-Radiologist/Founder of @radiologycasediscussion
5 days ago2 min read


Emphysematous Pyelitis – Radiological Findings and Differential Diagnosis
1. Definition and Key Features Emphysematous pyelitis: Gas is confined only to the pelvicalyceal system, with no renal parenchymal involvement. Most commonly associated with obstructive urinary tract infections (e.g., stones) and gas-producing bacteria such as E. coli. Frequently seen in diabetic patients. 2. Radiological Findings Plain Radiograph Localized radiolucencies: Fine linear or clustered gas densities projected over the kidney, localized to the renal pelvi


Late-Stage Perthes Sequelae in Adulthood: A Case Study CaseNo: MSK.4.6.3.3.2.001
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
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