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 32 - 50-year-old female presents with vision changes

<div>HISTORY:&#160;This 50-year-old female presents with vision changes.(QUIZ ANSWER) NOT A FINDING IN THIS CASE:&#160;Ventricular system is abnormal in configuration.Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: The ventricular system is normal in size and configuration. No midline shift or neoplasm is appreciated. There is altered signal within the temporo-occipital region with associated restrained diffusion with an enhancing focus along its inferior margin, with suggestion of a hemorrhagic infarct likely venous in nature. There is suggestion of altered flow signal within the left transverse and sigmoid sinus as well as involving part of the jugular bulb suggestive of sinus thrombosis.&#160;T2 vascular flow voids are within normal limits. Paranasal sinuses and mastoid air cells are well aerated and normal in appearance with mucosal thickening involving the right maxillary sinus and right ethmoid air cells. There are mucous retention cysts seen in both maxillary sinuses.&#160;CONCLUSION:&#160;Altered flow signal within the left transverse and sigmoid sinus and portion of the left jugular bulb suggestive of venous thrombosis with adjacent altered signal within the left temporo-occipital region with focus of enhancement suggestive of a hemorrhagic infarct. MRV may be helpful for further evaluation as would anticoagulation.</div>

Case

Ventricular system is abnormal in configuration

Altered flow signal within the left transverse and sigmoid sinus

Which of the following is NOT a finding in this case?