Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Course
Start here
1 topic
Practice Cases
Week 1
8 topics, 31 min.
Practice Cases
Week 2
8 topics, 1 hr. 34 min.
Practice Cases
Week 3
8 topics, 48 min.
Practice Cases
Week 4
8 topics, 37 min.
Practice Cases
Week 5
8 topics, 26 min.
Practice Cases
Week 6
8 topics, 17 min.
Practice Cases
Week 7
8 topics, 1 hr. 24 min.
Practice Cases
Week 8
8 topics, 18 min.
Practice Cases
Week 9
8 topics, 23 min.
Wk 10, Case 3 - Review
HIDEInteractive Transcript
Report
Patient History
20-year-old male with fluctuating tongue mass.
Findings
Pre- and postcontrast-enhanced MR was performed of the maxillofacial region along with contrast-enhanced MR angiogram. The study demonstrates an approximately 2.4cm (AP) x 2.3cm (TRV) x 2.8cm (CC) mass involving the right half of the oral tongue. The coronal images demonstrate the mass to extend to the midline lingual septum and may slightly cross midline.
The lesion is high signal on T2, low signal on T1 and demonstrates delayed enhancement best appreciated on the sagittal time resolved angiography. The T2 weighted images demonstrate multiple areas of signal loss within the lesion which are suspicious for phleboliths.
The diffusion-weighted images demonstrate increased signal; however, the ADC map shows no evidence of restricted diffusion. This makes the diagnosis of epidermoid less likely.
The visualized portion the brain is grossly within normal limits. However, dedicated brain imaging is necessary for complete diagnostic evaluation.
Conclusions
Heterogeneous mass involving the right half of the oral tongue which is high signal on T2, contains multiple focal areas of decreased attenuation and demonstrates delayed enhancement on the time resolved angiography. The above findings are most consistent with a venous malformation involving the oral tongue.
Case Discussion
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Suresh K Mukherji, MD, FACR, MBA
Clinical Professor, University of Illinois & Rutgers University. Faculty, Michigan State University. Director Head & Neck Radiology, ProScan Imaging
Tags
Neuroradiology
MRI
Head and Neck
© 2024 Medality. All Rights Reserved.