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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.
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Interactive Transcript
Report
Patient History
Left-sided facial weakness
Findings
MRI BRAIN: Multifocal areas of enhancement within the left facial nerve including the meatal (fundus), labyrinthine, tympanic, mastoid, and proximal extratemporal segments. Even the intraparotid portion of the left facial nerve enhances more than the right. Right facial nerve is normal.Vestibulocochlear nerves and trigeminal nerves are normal. Oculomotor nerves are normal. Optic nerves are normal.No acute intracranial hemorrhage, mass effect or midline shift. No enhancing intracranial masses. No extra-axial fluid collections. Ventricles and sulci are normal in size for age. Basal cisterns are clear. Major intracranial flow voids are preserved.Orbits are normal. Right maxillary mucous retention cyst. Mastoid air cells and middle ear cavities are clear. No suspicious osseous lesions.
MRI HEAD: Left dominant vertebral artery. Vertebral arteries, basilar artery, superior cerebellar arteries and posterior cerebral arteries are patent. Patent posterior communicating arteries bilaterally. Diminutive left P1 segment. The internal carotid arteries, middle cerebral arteries, anterior cerebral arteries and anterior communicating artery are patent. No high-grade stenosis or aneurysm.
Impressions
1. Multifocal areas of enhancement within the left facial nerve including the meatal, labyrinthine, tympanic, mastoid, and proximal extratemporal and left intraparotid segments. Findings could be seen secondary to an infectious/inflammatory process such as Bell's palsy.
2. Right facial nerve is normal.
3. Normal MRA of the head.
Case Discussion
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Joshua P Nickerson, MD
Associate Professor of Neuroradiology
Oregon Health & Science University
Francis Deng, MD
Assistant Professor of Radiology and Radiological Science
Johns Hopkins University School of Medicine
Tags
Non-infectious Inflammatory
Neuroradiology
MRI
Brain
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