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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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11 topics, 50 min.
11 topics, 33 min.
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Interactive Transcript
Report
Patient History
Severe headache over the past several days. History of hypertension, severe migraines.
Findings
These images demonstrate multiple foci of hemosiderin deposition within the white matter of the brain throughout. This includes the posterior fossa, right side of the brainstem, splenium of the corpus callosum. In addition there is a larger area of hemorrhage seen in the right globus pallidus with a minimal amount of surrounding edema.There is extensive white matter high signal intensity in the periventricular region, subcortical regions, as well as in the basal ganglia and striatocapsular region.
Both vertebral arteries, the basilar artery and both carotid arteries are patent. The patient has a partially empty sella, normal variant.Perfusion weighted scans suggests slight hyperperfusion to the left posterior frontal and parietal lobe of uncertain significance.
Impressions
Multiple foci of punctate hemosiderin deposition in the supratentorial and infratentorial compartments as well as an acute 4 mm area of hemorrhage in the right globus pallidus. Findings are suggestive of a hypertensive etiology. The differential diagnosis includes bleeds from a coagulopathy and amyloid angiopathy, the latter less likely due to age.
Moderate chronic small vessel ischemic changes in the white matter and striatocapsular regions bilaterally, greater than expected for age.
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
Neuroradiology
MRI
Brain
Acquired/Developmental
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