Radiology - Pulmonary & Neurology

age 15, gender M, pt is acutely breathless and might have a pneumothorax. CXR nl, no consolidation collapse, pneumothorax, or effusion. Nl mediastinal contour and pulmonary vasculature

Normal chest radiograph

Mail 25-year-old has a chief complaint of throat, pain, body ache, fever and left side of chest pain for two days no history of breathing difficulty or cough. Pain is not radiating to the left arm or neck. patient has poetic chest pain that is a stabbing feeling and is worse on inspiration

Pneumonia

55-year-old male is a smoker presents with chest pain. Fever and cough. Clinicians are worried about seeing cancer on a chest x-ray.

Opacity on xray, air bronchogram needed next

What does this air bronchogram indicate for the pt

Solid upper left lobe “hepatization”. Pt has lobar PNA

65-year-old female presented with one week history of difficulty passing urine, constipation, and back pain. Patient was found to be in a hyponatremic hyperosmolar and euvolemic state. Serum osmolality is low but urine osmolality is high, urine sodium is high. Pt suspected to have SIADH. no respiratory sx, no smoking hx or fhx of ca.

Non small cell lung carcinoma

25-year-old female with no background available

Radiolucent area in right lung field with compressive atelectasis of right lung and mediastinal shift to the left consistent with pneumothorax

CT of pt

Shows pneumothorax in the right lung with mild plural fusion mediastinum push the left multiple mass lesions then the wild air density cyst surrounded by normal lung tissue.

Pt has tuberous sclerosis with lymphangioleiomyomatosis

40 yr old male is wheezing and coughing

Opacity seen in right upper lobe boarded by thin radiolucent streaks

What does ct show

aspergilloma. Fungus ball that develops because of formation of hyphae inside lung cyst or an existing cavity (from tb or sarcoidosis) usually in the upper lobe.

60-year-old male has been treated for AML. Patient has cough, fever and dyspnea.

Atoll sign = air inclusions without fluid levels

Pt has fungal PNA in immunocompromised pt. Pt had lobectomy and pathology was mucormycosis

25-year-old female has worsening of a recurrent cough. She has a history of overseas travel and exposure to unsanitary conditions and animal droppings.

Mass with internal calcifications in left lower lobe

CT of pt shows

pulm hydatid cyst. Broncho alveolar lavage showed pos echinococcus titers

20 year-old female presents with tremor and dystonia

Panda sign = Wilson disease aka hepatolenticular degeneration

6 year-old male has progressive, bilateral visual impairment, and poor motor progression for his age

Adrenoleukodystrophy

Damaged ponds dilated lateral ventricles, prior lesion, white matter, deviation hyperintensities, and left temporal and occipital areas.

Three-year-old female was in a motor vehicle accident and is in GCS 3. (Coma). What does this cervical spine xr show

Widened interspinous distance between C1/C2

What does chest scan show

Left pneumothorax, atelectasis in right upper and left lower lobes

55-year-old woman presents with left facial droop

Epidermoid cyst. Pushing on pons and causing blood to pool there which compresses on facial nerve

20 year-old female presents with convulsions

Neurocysticercosis - vesicular stage

65-year-old male has a past history of CLL and is in remission is currently unwell and has a visual changes

Panpituitary lymphocytic hypophysitis bc of CLL.

Reactive chronic t lymphocytic infiltrate and fibrosis

Moderately thickened and lobulated stalk, superior extension to the hypothalamus. Pituitary gland and stalk are replaced by vividly homogenous enhancing tissue.

55 year-old female developed patchy vision with white specks seen bilaterally for a few weeks. Currently reports loss of vision in both eyes. There is hyper intensity around the bilateral hypothalamus, left globes pallidus, left post internal capsule, b/l optic tracts, left incision, right midbrain.

MS

10-year-old male has a history of intermittent headaches for the past five months.

Pineoblastoma

Pineal gland tumor with mets to the frontal lobe

Child presents with no available information

Retinoblastoma w retinal detachment

55-year-old female presents with occipital headaches and neck stiffness

Thrombosed Aneurysm of postero-inferior cerebellar artery

55 year-old male is following up with neurosurgery for a pre op scan

Spoke wheel sign = meningioma

25-year-old male presents with behavioral abnormalities

corpus callosum agenesis with interhemispheric cyst (open area where corpus callosum wa supposed to be)

15 month old female has a cranial deformity.

Cranial bone invasion into brain tissue. Left coronal suture fused = harlequin eye deformity.

Frontal plagiocephaly, craniosynostosis

12-year-old male is a secondary school student with acute onset tetraparesis. He has a rapid ascending paralysis with neuromuscular weakness with brisk reflexes. Patient also has cervical myelitis

Cervical transverse myelitis. Canal looks narrower and bulges forward

35-year-old female presents with a chronic headache and upper and lower limb numbness

Idiopathic intracranial hypertension

30-year-old female presents with fever and AMS for five days with underlying immunosuppressive illness and stem cell transplant. Scan shows multiple ring enhancing lesions

CNS Toxoplasmosis