Case Challenge

Brain

Neuro

Stephen J Pomeranz

Gain confidence interpreting Brain MRI w/ practice cases from MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

Case Review

Neuroradiology

Post-Course Activities

This Power Pack is comprised of 35 unique Brain MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Brain MRI Cases

Case 22 - 61-year-old male presents with memory loss

<div>HISTORY:&#160;This 61-year-old male presents with memory loss.(QUIZ ANSWER) FAVORED PRIMARY FINDING:&#160;Amyloid angiopathy.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Hypointense area within the left frontal lobe measuring approximately 1.9 x 1.1cm in size consistent with an old area of hemorrhage. Multiple other scattered areas of hemosiderin deposition. No surrounding vasogenic edema or mass effect. No evidence of midline shift.&#160;Diffuse FLAIR hyperintense structures throughout the subcortical and deep white matter consistent with gliosis of micrangiopathy origin. Confluent areas of FLAIR hyperintensity particularly within the bilateral external capsules, left greater than right, consistent with a lenticulostriate vasculopathy.&#160;No acute intracranial hemorrhage or abnormal extraaxial fluid collection.&#160;No evidence of restricted diffusion to suggest an acute ischemic event. The major proximal vascular flow voids are maintained. The venous sinuses are patent.&#160;Mild prominence of the temporal horns consistent with parahippocampal atrophy.&#160;No enhancing intracranial masses. No leptomeningeal enhancement. No evidence of a basilar inflammatory process.&#160;The paranasal sinuses and mastoid air cells are clear.&#160;IMPRESSION: Area of old hemorrhage within the left frontal lobe measuring approximately 1.9 x 1.1cm in size. Multiple other areas of hemosiderin deposition throughout the brain for which&#160;amyloid angiopathy is favored.Diffuse confluent areas of gliosis throughout the subcortical and deep white matter consistent with a vasculopathy likely related to hypertension. Given the extent of gliosis as well as parahippocampal atrophy, this likely contributes to the patient's memory loss.&#160;No acute intracranial hemorrhage.&#160;No acute supratentorial or infratentorial infarcts.</div>

Case

What is the FAVORED primary finding in this case?